Welcome from the Program Director

Michael (Mike) Frank, MDWelcome to the MCW Internal Medicine Residency Program web page. I have been program director here since 2004, and joined MCW in 1999. Prior to that I was on the faculty at Indiana University where I was the infectious diseases fellowship program director before leaving to come to MCW. I did my residency and fellowship training at the University of Virginia. While I have held several different positions in academic medicine, nothing has been as professionally satisfying and personally enjoyable as being the residency program director here.

Our program provides general medicine and subspecialty experiences in both inpatient and outpatient settings, as well as a full spectrum of educational and research opportunities. If you're looking toward a career in internal medicine or one of the subspecialties, we welcome your application. Please use this site to learn more about the various tracks available within the residency program, as well as our subspecialty programs and divisions, and our faculty and their research.

Please visit our Medical College of Wisconsin Internal Medicine Residency Facebook page to see what's happening in our program.

Michael (Mike) Frank, MD

Professor and Vice Chair for Education
Internal Medicine Residency Program Director

 About the Residency Program

The Internal Medicine Residency of the Medical College of Wisconsin (MCW) is a multi-hospital university program, located on a suburban campus serving a diverse patient population in the metropolitan area of Milwaukee, Wisconsin. In existence since 1925, the MCW Internal Medicine Residency prides itself on a long history of training high-quality internists. Currently, the Department of Internal Medicine is comprised of 130 residents, 71 fellows, and 280 faculty members. Our mission is to provide a comprehensive three-year curriculum in internal medicine training that enables high quality medical school graduates to learn tertiary, secondary, and primary care Internal Medicine skills in both inpatient and outpatient settings.

 Accreditation Status

The Medical College of Wisconsin Internal Medicine Residency Program has been continuously accredited by the ACGME since 1947. In 2011, an ACGME site visit resulted in the Internal Medicine Residency Review Committee awarding us full reaccreditation to 2016.

 Hospitals

Froedtert Hospital

Froedtert Hospital

Clement J. Zablocki VA Medical Center, Milwaukee, WI

Clement J. Zablocki VA Medical Center

 Special Features of our Program
  • Chairman is strongly supportive of student and resident education, and actively involved in the training program ensuring education as a priority.
  • Program Director and Associate Program Directors committed to residency education and scholarship, as well as the health and well-being of the residents.
  • Curricular flexibility allowing you to tailor to specific career goals.
  • =Education through support and independent decision-making; back-up ALWAYS available.
  • The opportunity to treat patients in three different types of health care facilities:
    • Quaternary Care, Level 1 Trauma, University Hospital - providing care to both the indigent and general population
    • Clement J. Zablocki Veterans Affairs Medical Center - 55,000 patients with complete spectrum of inpatient and ambulatory specialty care.
    • Community Hospital - private patients admitted to both private and hospitalist services.
  • Variety of population, patients, and pathology.
  • Froedtert Hospital, our primary training site, will give you the chance to experience:
  • Level One Trauma Center
  • Consultations on active transplant services (bone marrow, lung, kidney, liver, pancreas)
  • State-of-the-art-, multi-discipline Cancer Care Center
  • Nationally recognized Stroke Center, site of cutting-edge research on thrombolytics
  • Extensive campus growth in infrastructure
  • Both open and closed ICU models
  • Ambulatory Immersion (over 30 clinics to choose from)
  • Neurosciences
  • Musculoskeletal Diseases
  • Allergy
  • General Medicine Consults and Pre-ops
  • Private Practice experience
  • Women's Health
  • Research Elective
 Protected Educational Time/Educational Programs

Seeing a variety of patients and medical conditions is vital to internal medicine residency training. However, educational sessions that are practical, interactive, and cover the breadth and depth of internal medicine are just as important in producing a successful general internist or subspecialty physician. It is crucial to point out that simply having conferences is not good enough when there are competing priorities. Our philosophy is to provide residents with protected, uninterrupted educational time. Since 2007, the internal medicine residency program has provides a coordinated series of educational sessions that are protected from interruption by patient care responsibilities for housestaff. The overall program includes:

  • Academic Half-Day: every Wednesday throughout the year. This conference series replaces the traditional noon conference. PGY-1 residents have dedicated core lectures Wednesday afternoons to enhance their internship and PGY-2 and PGY-3 residents meet Wednesday mornings for acclaimed lecture series and integrated board review designed to expand their knowledge base and to assist with preparation for the United States Medical Licensing Board Examination
  • Noon Conferences: every Monday, Tuesday, Thursday and Friday. Noon reports are held daily and feature a complex or unique case presented by a senior resident and moderated by a chief resident. These conferences are highly regarded and are attended by all interns and residents, as well as GIM and subspecialty faculty. In addition to working through a case with the audience, a PICO question relevant to the case is presented with each case in order to further our evidence based learning.
  • Clinicopathologic Conference (CPC): monthly at both FLMH and the VA. Each month an expert clinician is presented with the clinical course, relevant laboratory results and radiological findings of a particular patient and asked to develop a case discussion to present to students, residents and faculty. In addition to learning how our expert presenter would approach a challenging case, radiology and pathology also present relevant findings which lead to an unveiling of the diagnosis.
  • Morbidity & Mortality Rounds: monthly at both FLMH and the VA. As there is much to be learned from every case M&M conferences are important learning tools. In addition to the traditional management based M&M conferences, we also present Morbidity, Mortality & Improvement cases 4 times a year. These are interdisciplinary conferences that focus on a system based issues that may contribute to an adverse outcome. The key products of the conferences are workgroups (including administrators, faculty, residents and staff) who meet subsequently to address the specific issues and improve patient care.
  • Grand Rounds: Friday mornings. Selected speakers present relevant information on medical topics, new and innovative research or breakthroughs within Medicine.
  • Core Skills Program (IM 101, 201 and 301): One week of protected learning in each residency year. Sessions are conducted in small groups covering a broad array of topics. IM 301 (for PGY-3s) is dedicated to high yield board review.
  • Yearly retreats: One to two day retreats for each residency class. The retreats are designed to provide residents with ample time for building camaraderie, developing skills necessary or their respective PGY, and providing the program leadership with feedback. The PGY-3 retreat is particularly popular with residents as it is the only overnight retreat! Previous locations have been Wisconsin Dells, Lake Geneva, and The Blue Harbor in Sheboygan.
  • Evidence-based medicine sessions: A dedicated series of interactive lectures are held during the Ambulatory Immersion rotation, which are designed to enhance residents’ ability to critically appraise journal articles and to encourage them to apply their knowledge in their practice of evidence-based health care.
 Resident Schedule

Every attempt is made to meet the educational goals of each individual resident. Below are examples of curriculum templates for residents in our various training programs. Each rotation is typically a one month block.

Typical Schedule Overview for all PGY Residents (DOC)

Typical Conference Schedule

  • Daily: Internal Medicine Noon Report, MICU Teaching Conference, Subspecialty Conferences
  • Weekly: Academic Half-Day, Resident Case Conference, Integrated Skills Workshop, Medical Grand Rounds, Board Review, Ambulatory Case Conference, Morbidity & Mortality Conference, Intern Report
  • Monthly: Clinicopathologic Conference, Journal Club, Autopsy Rounds

Special:

  • Core Skills Program 101: A week long course designed to help first-year residents transition into the challenging world of internal medicine.

  • Core Skills Program 201: A two-day long course for second-year residents that highlights key topics for continued learning.

  • Core Skills Program 301: A week long course for third-year residents specifically geared toward board review and preparation.

 Recent Scholarly Activities by MCW Residents
  • 243 Presentations at Regional and National Meetings

  • 110 Published Abstracts

  • 65 Journal Publications/Textbook Chapters

  • >80% of residents participate in scholarly activities resulting in published abstracts or manuscripts

Regional/National Meeting Presentations

Wisconsin American College of Physicians Chapter Scientific Meeting (published in Wisconsin Medical Journal): 6 oral presentations, 12 poster presentations

American College of Physicians Annual Session (national): 3 oral presentations (National Winners of Associates’ Abstract Competition), 14 poster presentations

Wisconsin Neurologic Society: 2 oral presentations, 5 poster presentations

National Kidney Foundation Annual Meeting (published in American Journal of Kidney Disease): 8 poster presentations

American Academy of Chest Physicians/American Thoracic Society Annual Meeting (published in Chest): 9 poster presentations

American Geriatrics Society (published in Journal of the American Geriatrics Society): 3 poster presentations

American Society of Nephrology (published in Journal of the American Society of Nephrology): 1 oral presentation (Highlighted presentation), 5 poster presentations

Digestive Diseases Week (international, annual GI conference): 8 poster presentations

American College of Cardiology (published in Journal of the American College of Cardiology): 3 poster presentations

American College of Gastroenterology (published in Gastroenterology): 5 poster presentations

American Society of Hematology Annual Meeting (published in Blood): 3 presentations

American Heart Association National Scientific Session (published in Circulation): 2 presentations

Midwest Regional Society of General Internal Medicine Scientific Meeting: 40 oral presentations, 32 poster presentations

MCW Research Day: 10 poster presentations

National Society of General Internal Medicine Scientific Meeting (published in Journal of General Internal Medicine): 14 oral presentations, 35 poster presentations

Women’s Issues in GI and Hepatology: 3 poster presentations

American College of Endocrinology National Meeting (published in Journal of Endocrinology): 2 poster presentations

Arteriosclerosis, Thrombosis and Vascular Biology National Conference (published in Arteriosclerosis, Thrombosis and Vascular Biology): 2 poster presentations

American Transplant Congress (published in American Journal of Transplantation): 2 poster presentations

Associated Professionals of Sleep Studies Annual Meeting (published in Sleep): 2 poster presentations

Society of Vascular and Interventional Neurology: 4 poster presentations

Neurocritical Care Society National Meeting: 4 poster presentations

Critical Care National Congress: 4 poster presentations

Publications in Peer-Reviewed Journals

Ortega-Gutierrez S et al. Neurological Complications in non-neurointensive care units. Neurologist. 2009;15:254-67.

Lopez-Vicente M, Ortega-Gutierrez S, et al. Diagnosis and management of pediatric stroke. J Stroke Cerebrovasc Dis. 2010;19:175-83.

Ortega-Gutierrez S, Torbey M. Sentinel headaches in patients with subarachnoid hemorrhage: implications for patient management. Nat Clin Pract Neurol. 2007;3:310-311.

Szeder V, Ortega-Gutierrez S, et al. The TRACH Score: Clinical and Radiological Predictors of Tracheostomy in Supratentorial Spontaneous Intracerebral Hemorrhage. Neurocritical Care. 2010;13:40-46.

Ananthakrishnan AN, Saeian K. Caroli’s disease: Identification and treatment strategies. Current gastroenterology reports. 2007;9(2):151-155.

Ortega-Gutierrez S, et al. Neurologic complications in non-neurological intensive care units. Neurologist. 2009;15(5):254-67.

Chitnis AS et al. Epidemiologic and Clinical Features Among Patients Hospitalized in Wisconsin with 2009 H1N1 Influenza A Virus Infections, April to August 2009. WMJ 2010;109:201-8.

Ziegelstein RC, Parakh K, Sakhuja A, Bhat U. Depression and coronary artery disease: is there a platelet link? Mayo Clin Proc. 2007;82(11):1366-8.

Lohr N, et al. Enhancement of nitric oxide release from nitrosyl hemoglobin and nitrosyl myoglobin by red/near infrared radiation: Potential role in cardioprotection, J Mol Cell Cardiology. 2009;47:256-63.

Hartmann KA et al. Tubo-ovarian abscess in virginal adolescents: Exposure of the underlying etiology. J Pediatr Adolesc Gyn. 2009;22:13-6.

Michaels AD, Viswanathan MN, Jordan MV, Chatterjee K. Computerized Acoustic Cardiographic Insights into the Pericardial Knock in Constrictive Pericarditis. Clinical Cardiology. 2007;30:450–458.

Djousse L, Kochar J, Gaziano JM, Dietary factors and risk of heart failure: A systematic review. Current Cardiovascular Risk Reports. 2007;1(4):330-334.

Weisgerber MC, Hartmann KA et al. Moderate and Vigorous Exercise Programs in Children with Asthma. Pediatr Pulmonol. 2008;43:1175-82.

Webber K et al. Intertriginous eruption associated with chemotherapy in pediatric patients. Arch Dermatol. 2007 Jan;143(1):67-71.

Gonzaga JE, Ananthakrishnan AN, Issa M, Beaulieu DB, Skaros S, Zadvornova Y, Johnson K, Otterson MF, Binion DG. Durability of Infliximab in Crohn’s Disease: A single center experience. Inflamm Bowel Dis. 2009;15:1837-43.

Parakh K, Sakhuja A, Bhat U, Ziegelstein RC. Platelet function in patients with depression. South Med J. 2008;101(6):612-7.

Nangia S, Saad E. Torsion of Renal Transplant Ten Years after Simultaneous Kidney-Pancreas Transplantation: Imaging as a Diagnostic Tool: Transplantation. 2009;87:1590.

Jain N, Fisk D, Sotir M, Kehl KS. West Nile Encephalitis, Status Epilepticus and West Nile Pneumonia in a Renal transplant Recipient. Transpl Int. 2007;20(9):800-3.

Bommakanti S et al. Efalizumab-Associated Lymphoproliferative Disease. J Drugs in Derm. 2007;6(6):646-8.

Parker SM et al. Follicular lymphoma transformation to dual translocated Burkitt-like lymphoma: improved disease control associated with radiation therapy. International Journal of Hematology. 2009;90:616-22.

Wig N, Bhatt S, Sakhuja A, Srivastava S, Agarwal S. Dietary Adequacy in Asian Indians with HIV. AIDS Care. 2008;20(3):370-5.

Ortega-Gutierrez S, et al. Protective effect of melatonin against genotoxic damage induced by mitomycin C in peripheral blood rats. J Biomed Biotech. 2009.

Juneja R, Roudebush C, Kumar N, et al. Utilization of a Computerized Intravenous Insulin Infusion Program to Control Blood Glucose in the Intensive Care Unit. Diabetes Tech Therap. 2007;9:1089-1100.

Kumar R, Burns EA. Age related decline in innate and adaptive immunity: Implications for vaccine responsiveness. Expert Review of Vaccines. 2008;7:467-79.

Moyers B, Shapiro M, Marcus GM, Gerber IL, McKeown B, Vessey JC, Jordan MV, Huddleston M, Foster E, Chatterjee K, Michaels AD. The performance of phonoelectrocardiographic left ventricular systolic time intervals and B-type natriuretic peptide levels in the diagnosis of left ventricular dysfunction. Annals of Noninvasive Electrocardiology 2007;12:89–97.

Ortega-Gutierrez S et al. Melatonin reduces protein and lipid oxidative damage induced by homocysteine in rat brain homogenates. J Cell Biochem. 2007;102:729-735.

Malhotra S. Jordan MD, Shortliffe EH and Patel VL. Workflow Modeling in Critical Care: Piecing Together Your Own Puzzle. Journal of Biomedical Informatics. 2007;40(2):81-92.

Sakhuja A, Goyal A, Jaryal AK, Wig N, Vajpayee M, Kumar A, Deepak KK. Heart Rate Variability and Autonomic Function Tests in HIV Positive Individuals in India. Clin Auton Res. 2007;17(3):193-6.

Kochar J, Fredman L, Stone K, Cauley JA , Sleep Problems in Elderly Women Caregivers Depend on the Level of Depressive Symptoms: Results of the Caregiver-Study of Osteoporotic Fractures . Journal of American Geriatrics Society. 2007;55(12):2003-9

Angel JR, Parker S et al. Recurrent Deep Vein Thrombosis and Pulmonary Embolism in a Young Man with Klinefelter Syndrome and Heterozygous Mutation of MTHFR-C677T and A1298C. Blood Coagul Fibrinolysis. 2010;21(4):372-5.

Ananthakrishnan AN, et al. Disparities in colon cancer screening in the Medicare population. Arch Intern Med. 2007;167(3):258-64.

Jain N, Patel D, Pfeifer KJ. An unusual case of vertebral osteomyelitis in a young healthy adult. Wisconsin Medical Journal. 2007;106:152-4.

Shapiro M, Moyers B, Marcus GM, Gerber IL, McKeown B, Vessey JC, Jordan MV, et al. Diagnostic characteristics of combining the phonocardiographic third heart sound with systolic time intervals for the prediction of heart failure. Journal of Cardiac Failure. 2007;13:18-24.

Surapaneni S, et al. Suppressive anti-HCV therapy for prevention of donor to recipient transmission in stem cell transplantation. Am J Gastroenterology.2007;102(2):449-51.

Djoussé L, Kochar J, et al. Relation of albuminuria to left ventricular mass (From the HyperGEN Study). American Journal of Cardiology. 2008;15;101(2):212-6.

von Drygalski A, et al. Vancomycin-induced immune thrombocytopenia. New England Journal of Medicine 2007;356:904-910.

Torgerson S et al. Central nervous system Hodgkin lymphoma: case report and review of the literature. Neuro-oncology. 2010.

Angel JR, Alfred A, Sakhuja A, Sells RE, Zechlinski JJ. Ewing’s Sarcoma of the Kidney. Int J Clin Oncol. 2010;15(3):314-8.

Wig N, Sakhuja A, Khakha DC, Agarwal SK, Mehta S, Vajpayee M. Comprehensive health status of HIV infected outpatients at a tertiary care centre in India. Indian J Med Sci. 2008;62(3):87-97.

Kassel KM, Schulte NA, Parker SM. Lysophosphatidic Acid Decreases Epidermal Growth Factor Receptor Binding in Airway Epithelial Cells. Journal of Pharmacology and Experimental Therapeutics. 2007;323(1):109-118.

Grayburn R et al. Urgent Biventricular Implantable Cardioverter Defibrillator Implantation in a Patient With Situs Inversus Totalis and Dextrocardia. Int J Cardiol. 2007;119:339–343.

Qumseya BJ, Ananthakrishnan AN, Skaros S, Bonner M, Zadvornova Y, Naik A, Perera L, Binion DG. QuantiFERON TB Gold Test for Tuberculosis Screening in an Inflammatory Bowel Disease Cohort in the United States. Inflammatory Bowel Diseases. 2010.

Gor NV, Levy RM, Ahn J, Kogan D, et al. Biliary Cast Syndrome Following Liver Transplantation: Predictive Factors and Clinical Outcomes. Liver Transplantation. 2008;14:1466–1472.

Kochar J, Djoussé L, Gaziano JM , "Breakfast Cereals and Risk of Type-2 Diabetes in the Physicians' Health Study I". Obesity. 2007;15(12):3039-44.

Djoussé L, Kochar J, Gaziano JM, Secular trends of heart failure among US male physicians. American Heart Journal. 2007;154(5):855-60.

Ananthakrishnan AN. Severe pulmonary toxicity following azathioprine/6-mercaptopurine initiation for the treatment of inflammatory bowel disease: A case series. Journal of Clinical Gastroenterology 2007;41(7):682-8.

Batwara R, Pfeifer K. Bilateral lung masses in a thalassemic man. Resident and Staff Physician, 2007;41:17-21.

Sood P, et al. Subdural Hematomas in Chronic Dialysis Patients: Significant and Increasing. Clin J Am Soc Nephrol. 2007;2:956-959.

Kaikobad M. Primary Mediastinal Embryonal Carcinoma Masquerading as Chronic Pancreatitis. WMJ 2007;106(4):51-54.

Ortega-Gutierrez S, et al. Sentinel headaches in patients with subarachnoid hemorrhage: implications for patient management. Nat Clin Pract Neurol. 2007:3:310-311.

Szeder V, Ortega-Gutierrez S. CNS blastomycosis—young health male working in fields post hurricane Katrina. Neurology. 2007:68:1746-1747.

Girotra S, et al. Relation of heart rate response to exercise with prognosis and atherosclerotic progression after coronary artery bypass grafting. Am J Cardiol. 2009;103(10):1386-90.

Wee C, Girotra S, et al. Relationship between obesity and atherosclerotic progression among patients with CABG. JACC. 2008;52:620-5.

Textbook Chapters/Other Publications

Ortega-Gutierrez S, et al. Neurologic Emergency appendix: Ischemic stroke. In: Little Black Book of Neurology 5th edition.ed. Zaidat OO, Lerner AJ. Saunders Elsevier, 2007, pp 539.

Kochar J, et al. J. Aspirin for Primary and Secondary Prevention. In: Antithrombotic Drug Therapy in Cardiovascular Disease; Askari, et al. 2010.

Ortega-Gutierrez S, et al. Therapeutic Appendix: Medication Doses, Action and Side effect Myasthenia Gravis (MG). In Little Black Book of Neurology 5th edition,ed. Zaidat OO, Lerner AJ. Saunders Elsevier, 2007, pp 574-576.

Ortega-Gutierrez S, Lopez-Vicente M. Myotomes. In: Little Black Book of Neurology 5th edition, ed. Zaidat OO, Lerner AJ. Saunders Elsevier, 2007, pp 332-334.

Kaur K, Findling J. Cushing's Disease. In: Davies, T., Editor-in-chief. A Case-Based Guide of Clinical Endocrinology, 2008.

Ortega-Gutierrez S, Lopez-Vicente M. Spinal Epidural Abscesses. In: Little Black Book of Neurology 5th edition.pp 454-455.

Lopez-Vicente M, Ortega-Gutierrez S, Torbey M. Stroke on pediatric wards. In: The Stroke Book 1st edition. ed. Torbey MT, Selim MH. Cambridge, 2007, pp: 265-276.

Kandiah PA, Zaidat O. Gait Disorders. In: Little Black Book of Neurology 5th edition, ed. Zaidat OO, Lerner AJ. Saunders Elsevier, 2007.

Kandiah PA, Zaidat O. Myotonia. In: Little Black Book of Neurology 5th edition, ed. Zaidat OO, Lerner AJ. Saunders Elsevier, 2007.

Jeske W, Hoppensteadt D, Sheikh A, et al. “An Overview of Hemostasis and Thrombosis”. In: Kipshidze N, Fareed J, Moses J, and Serruys P. Textbook of Interventional Cardiovascular Pharmacology. United Kingdom: Taylor & Francis, 2007: 1-29

Kandiah PA, Zaidat O. Complex Regional Pain Syndrome. In: Little Black Book of Neurology 5th edition, ed. Zaidat OO, Lerner AJ. Saunders Elsevier, 2007.

Kandiah PA, Zaidat O. Creatine kinase. In: Little Black Book of Neurology 5th edition, ed. Zaidat OO, Lerner AJ. Saunders Elsevier, 2007.

 Call Schedules

Call schedules will vary depending upon rotation. On average, PG-1 residents will have 7-8 months of ward responsibilities, PG-2's 5-6 months, and PG-3's 4-5 months. However, some "ward" rotations do not have any overnight call, so the number of overnight ward rotations is less. In general, interns do more call months than residents, but call frequency is less for interns.

Medical College of Wisconsin Department of Medicine Call SchedulesAs with any residency program, the implementation of the 2011 ACGME duty hour rules required some changes in call structure. We felt it was important, however, to make changes based on principles that we considered important in residency education, and not just jump to an all night float system in order to meet hospital coverage needs. We first defined the following principles to guide our decision-making:

  • We believe there is educational value in having some training in the hospital at night--you will see things and learn things at night that you wouldn't otherwise.
  • We believe in team call and team care. Teamwork is essential in today's health care environment and working as a team is also more fun and facilitates learning. When you are on call, it should be with your own team.
  • We believe that night float time should NOT take away elective time. Night float months are considered ward months and time has been taken to make this time educational.
    • Intern year: VA night float is paired with heme/onc wards to provide exposure to overnight cross cover issues and gain experience with inpatient heme/onc patients.
    • Second and Third year: Night float is paired with the VA urgent care center.
    • All three years: The MICU has an internal night float system, where you will do 6-7 shifts overnight for your team and during the remaining 3 weeks you will work days on your team.
  • We believe that call schedules and coverage should be tailored to the individual rotations and services, according to educational priorities, rather than applying a "one size fits all" system across all services. For example, the best schedule for learning in an ICU is likely somewhat different than a general medicine ward which is different than a subspecialty ward.

At Froedtert hospital, there are six housestaff teams for general medicine wards and seven "uncovered" hospitalist-PA teams which are covered 24/7 by hospitalist faculty and never by housestaff. Our VA hospital now also has hospitalist teams that admit and cover their own patients 24/7. This allows for admissions to be more spread out, and more importantly to be tailored to the housestaff schedule--thus avoiding admissions during morning rounds, during Academic Half-Day and after 2 a.m.

General medicine ward teams have one attending, one resident, two interns, one sub-intern and two junior students. For Froedtert general medicine wards, overnight call is q 6 nights for residents and q 12 for interns. In 2012, the VA wards changed to incorporate an intern night float system; this change was driven by the housestaff and designed to create more continuity within teams.

The Froedtert MICU has two teams of five housestaff; each person covers his/her team for 6 night shifts in a row, for the works days for the remainder of the month.

The Froedtert cardiology, transplant and oncology services as well as the VA oncology service do not have overnight call. This is so that housestaff are never post-call and can be present for all daytime educational activities on these specialized services.

PG-2 and PG-3 residents each do 12 nights of night float per year which is coupled with an Ambulatory - Urgent Care rotation.

While on an elective month, interns and residents do not have night or weekend coverage responsibilities, however all housestaff while on an elective are designated to have either a weekend or week of jeopardy where they could be asked to provide coverage for a co-resident if needed.

 Special Tracks

Medicine-Geriatrics Combined Residency

The combined Internal Medicine-Geriatrics residency program is the latest innovation in combined residencies at the Medical College of Wisconsin. The Med/Geriatrics residency is designed to offer flexibility, preparedness and expanded career options while building upon the strengths and interests of the individual resident. The program will provide the internist with the required knowledge to provide first-rate geriatric care to the tidal wave of baby boomers that are increasing in age every day. At completion of the four-year program, graduates are Board eligible in both medicine and geriatrics.


Clinical Investigator Track

A clinician-investigator track is available for selected applicants. Most candidates have graduated with a PhD from medical school. The program is designed in accordance with the Research Pathway requirements of the American Board of Internal Medicine, and provides a trainee with three years of basic biomedical research with two years of clinical rotations. Research activities can be done under the auspices of the Basic Science Departments, or one of the subspecialties clinical services. Upon completion of this special five-year program the resident is eligible for certification by the American Board of Internal Medicine. It is also possible to continue this pathway with subspecialty fellowship training, resulting in Board eligibility in both internal medicine and a subspecialty.


Primary Care Track

The focus of the primary care track is to provide comprehensive general internal medicine training with an emphasis on preparing individuals for careers in community-based general internal medicine. The Primary Care Track at MCW has evolved considerably since it was initiated in 1985 and has been the originating foundation for many of our innovative curricular programs. Our Primary Care Program Director is Dr. Monica O'Sullivan.

The focus of the resident's primary care training program is the development of a strong continuity clinic-based practice. Although interns attend only one half-day clinic session per week, second and third year residents are in clinic two sessions per week.

Patients are seen in the Froedtert Internal Medicine Clinic, a site treating a diverse patient population and offering the opportunity to manage many disease entities. This is a high-volume, full-service clinic, where residents and faculty work in a group-practice setting, utilizing nurse-practitioners, social workers, and a full technical staff. Residents work consistently with a mentoring primary care track faculty, and establish their own patient panel which they follow throughout their entire residency program.

To maintain an emphasis on primary care, residents choosing this educational track rotate through more ambulatory block rotations throughout their residency than a traditional track.


Medicine-Pediatrics Combined Residency

The Medical College of Wisconsin offers a four-year combined Internal Medicine-Pediatrics residency program. Six positions are available each year. At the completion of the four years of training, graduates are Board eligible in both medicine and pediatrics.

The training consists of alternating internal medicine and pediatric four-month blocks. Integrated rotations are offered in a number of subspecialties. Continuity clinics occur weekly in both medicine and pediatrics. An integrated medicine-pediatrics educational conference is held monthly.

 Board Preparation Curriculum

Regular Board Review Sessions

  • Faculty-led board review sessions 2-3 Wednesdays per month during senior resident Academic Half Day
  • Utilizes board style questions and emphasizes general and topic specific test taking strategies
  • Active participation is encouraged with the use of a high tech audience response system

High-Yield Board Review Course

  • A week long course held in the spring of each resident’s PGY 3 year
  • Residents are relieved of all other responsibilities to attend
  • All major ABIM certification exam topics covered by faculty with experience leading ACP Recertification Exam Preparation sessions or writing ACP In-Training Exam or ABIM certification exam questions

Medical Knowledge Improvement Plan

  • Program leadership assists residents in identifying personal learning styles and guides their selection of the board review resources that best fit their needs
  • Residents with identified test taking difficulties are given individualized assistance with board preparation
  • Insurance-covered neurocognitive testing is available for residents seeking special accommodations for the ABIM certification exam

Independent Study

  • A library is kept up to date with the major resources utilized by residents for board preparation, including MedStudy ® and MKSAP 15® (text and computer resources).
 Career Mentorship Plan
  • Program director and assistant directors meet with residents regularly to assist with the identification of potential research and clinical mentors.
  • Over 100 enthusiastic faculty willing to actively participate as mentors for research projects, clinical advice, career preparation needs and the fellowship application process.
  • The program offers sessions giving tips on obtaining a fellowship as well as how to start your search for a full-time position in either academics or community medicine.
 Resident Scholarship Program

MCW Resident Scholarship ProgramScholarly Project Support

  • Classes in abstract writing and project planning
  • Program leadership advises residents pursuing projects and provides recommendations for projects and faculty mentors
  • Faculty in Clinical and Translational Science Institute (CTSI) available for free consulting on research project planning
  • Free biostatistics advising and data handling

Research Methods Workshop

  • Classes in basic research methodology and basic biostatistics

Abstract, Presentation and Manuscript Review Service

  • Program leadership available to review all research and case report abstracts, presentations, posters, and manuscripts prior to submission or conferences

Resident Scholarship Fund

  • Program provides subsidization of resident expenses for national meeting presentations
  • Free poster printing
 Underrepresented in Medicine (URM)

Our residency program welcomes and embraces diversity. MCWAH has established an Underrepresented in Medicine (URM) group on campus. Housestaff from the MCWAH residencies and fellowships on campus comprise the URM Housestaff Committee. Two of our PGY2 residents, Tia Vernon, MD and Senait Tesfai-Barker, MD are members of this committee. For additional information, please view the Underrepresented in Medicine (URM) Web page.

 Terms, Conditions, and Benefits of Employment

View Terms, Conditions, and Benefits of Employment on the Graduate Medical Education Web site.

 Sample Training Agreement

View our Sample Training Agreement (PDF)

 Visa sponsorship

View Visa Information on the Graduate Medical Education Web site.

Contact Us

To inquire further about the Internal Medicine Residency at the Medical College of Wisconsin, please contact us at immcw@mcw.edu.

Medical College of Wisconsin
8701 Watertown Plank Road
Milwaukee, WI 53226
(414) 955-8296
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