Saint Vincent Hospital 
Internal Medicine Residency Program

Categorical Internal Medicine (NRMP #1290140C0)

• Our Internal Medicine Training Program has 75 house officers: 25 senior residents, 25 junior residents, and 25 interns, including a mix of categorical and preliminary year positions. We also have three PGY-4 chief residents. The Department of Medicine at Saint Vincent Hospital currently has over 100 teaching faculty members composed of internists and subspecialists. Our program is accredited by the Accreditation Council for Graduate Medical Education (ACGME).
• We accept all PGY-1 applications through the Electronic Residency Application Service (ERAS). All PGY-1 categorical positions are filled through the National Resident Matching Program (NRMP).
• Our residents consistently score impressively on the ABIM Boards. More than half of our graduates choose to enter subspecialty fellowships, while the rest enter primary care or hospital medicine. Our record of placement of residents into excellent fellowships or hospitalist/primary care positions remains very strong, and we provide necessary support to maintain this tradition. All of our graduates have acquired a unique and essential perspective on managed care since Saint Vincent is closely affiliated with Reliant Medical Group, which is affiliated with an HMO and is nationally recognized for outstanding care and innovation. They also have the opportunity to work with other physicians practicing in private groups.

The important characteristics of our internal medicine training program may be summarized as follows:

• Our curriculum is designed to give residents progressive responsibility in patient care, so that they are confident in managing patients independently using evidence-based medicine by the end of their training.
• Leadership skills are developed as residents run wards rounds and learn how to manage their teams effectively.
• Residents grow into becoming educators as they progress through their training, by taking an active role in teaching interns and medical students.
• We pride ourselves on a culture of collegiality and fostering a team-based approach to providing excellent patient care.
• We have a 6+2 schedule, in which two 3- week blocks of inpatient service rotations (Wards, MICU, CCU, PCU, ED, and Night Float) or electives are always followed by a 2-week block in the ambulatory setting. Please see the Continuity Clinic and Ambulatory Care section for more details.
• Our policy dictates that all diagnostic and therapeutic orders on teaching patients are entered by the house staff. The attending staff has voluntarily agreed to refrain from writing orders in the interest of our educational program.
• Point of Care Ultrasound (POCUS)

Exceptional Educational Opportunities

• Morning Report sessions, in which the house officers and medical students present and review patient cases, hospital courses, and other clinical information, often leading up to the diagnosis or final outcome.   Morning Report sessions are typically attended by the chief medical residents and one of the members of program leadership. Specialists and hospitalists attend the specialty Morning Report sessions. 
• Daily noon conferences, including subspecialty lectures devoted to the core curriculum, including the basic science pertaining to each subspecialty. Socially relevant issues are also discussed, such as  Health Care Disparities, Managed Care, Life After Residency, Ethics, Domestic Professionalism, and End of Life/Palliative Care.
• In addition to morning reports and noon lectures, we have regularly scheduled Grand Rounds, Morbidity and Mortality conferences, Patient Safety Rounds, PI project presentations, Journal Club, Senior Resident lectures and a Board Review Series.
• Professor Rounds are held for one hour on a weekly basis. The cases to be discussed are determined by the resident and the focus of these sessions are on clinical reasoning and bedside physical examination.
• During the Ambulatory block, an academic half-day is dedicated to focusing on topics such as motivational interviewing, professionalism, approach to geriatrics and opiod management. These sessions will also dedicated to PI/QI projects and point-of-care ultrasound training. See Ambulatory Clinic schedule section.
• In the ICU and CCU, there are daily teaching rounds with an intensivist or cardiologist, respectively.
• Mock codes and central line simulation are regularly conducted by the chief residents locally at SVH.
• Several other interdisciplinary learning opportunities include Tumor Board, Radiology and Pathology Conferences, Surgery and Neurology Grand Rounds, and Inter-hospital GI, Cardiology, Renal, Endocrinology and Infectious Disease Rounds.

  We also strongly encourage membership to the Massachusetts Medical Society, Worcester District Medical Society, American College of Physicians, American Medical Association and other subspecialty organizations

Additional Resources