Combined Internal Medicine - Anesthesiology Residency Program

We foresee an increased demand for perioperative care physicians. Join us in one of the few combined IM-Anesthesiology programs in the country to become competent internists and anesthesiologists capable in both disciplines.

Graduates will be Board-eligible in both specialties. Residents in this combined program are involved as members of both departments in including educational and clinical endeavors as well as research opportunities.

Candidates apply to the combined program and will interview with both internal medicine and anesthesiology programs. Applications are accepted via ERAS and require at least TWO letters of recommendation from each specialty.

ERAS number: 7425644003

NRMP code: 1784040C1

Sample anesthesiology schedule

  Number of rotations
Location  Year 1
Year 2 Year 3 Year 4
 Year 5
Children's Wisconsin
0 3
Froedtert Hospital 8 6 8 6 7
Veterans Affairs Medical Center 4 3 3
Wheaton Franciscan St. Joseph's 0
0 1


Residents will have alternate between internal medicine and anesthesiology training immediately following their PGY-2 year. Residents will continue to have both an IM Continuity Clinic and anesthesiology shadowing experience throughout the 5 year period.

Vacation time is taken proportionally to time spent in each residency in a given year. Absences from training exceeding 5 of the 60 months of required training must be made up.

The core Anesthesiology conferences occur on Wednesday mornings (weekly didactics / case based learning from 6:30-7:30 a.m.) and on Friday mornings (M&M, Grand Rounds, Case Conference, etc.).

During the Internal Medicine portion of the training in Years 3-5, residents attend one of these sessions monthly at a minimum, with the expectation that residents attend these sessions on a more frequent basis. Because the timing of the conferences listed above is early in the day, it will be feasible for residents to attend other conferences weekly.

Residents in combined program take written exams for both residencies. Residents will take the Medicine In-Training Exam on an annual basis. For anesthesia the BASIC Exam is taken July of PGY-3 (CA-2) year and focuses on the scientific basis of clinical anesthetic practice and concentrates on content areas such as pharmacology,
physiology, anatomy, anesthesia equipment and monitoring.

The advanced exam for anesthesia is taken after the completion of the residency and focuses on clinical aspects of anesthetic practice and will emphasize subspecialty-based practice and advanced clinical issues. The Internal Medicine certification exam is also taken after the completion of the residency and focuses on clinical aspects of internal medicine disease processes.

Frequently asked questions

What will graduates of this program do?

Based on national needs for healthcare providers, we foresee that trainees completing this program will seek local and national positions combining both practices. They may seek exciting opportunities in perioperative management (home, sedation, and hospitalist work) as well as further training in pain management, critical care medicine, academic medicine, or quality assurance.

Will residents in the combined program have faculty mentors?

Yes, faculty members with expertise in both disciplines will serve as mentors.

Is there a preferred number of letters of recommendation for each specialty?

We prefer to receive at least two letters from each anesthesiology and medicine; letters from other specialties are welcomed as well.

Candidates are expected to describe in their personal statement their reasons for applying to the combined program, and thoughts about their future career goals.

What is the process for coordinating the application process between the two departments?

Our interview routine includes a dinner or lunch with each specialty and faculty interviews. Interview season takes place between October and January.

Departmental program requirements



  • Two one-month rotations in obstetric anesthesiology, pediatric anesthesiology, neuroanesthesiology, and cardiothoracic anesthesiology.
  • A minimum of one month adult intensive care unit during each of the last 3 years.
  • Three months of pain medicine: 1 month in acute perioperative pain, 1 month in chronic pain, and 1 month of regional analgesia/peripheral nerve blocks.
  • One month in a preoperative evaluation clinic.
  • One-half month in a post anesthesia care unit.
  • No single subspecialty, excluding critical care medicine, exceeds six months total.
    During the Anesthesiology rotations, residents attend a minimum of one Internal Medicine Continuity Clinic session per month.
Learn more about anesthesiology duties and training requirements


  • A minimum of 4 months of critical care (MICU, CCU) rotations (max 6 months) with at least one additional month in a surgical ICU.
  • A minimum of 1/3rd of Internal Medicine training occurs in ambulatory setting and minimum of 1/3rd in inpatient setting.
  • A longitudinal Continuity Clinic of 130 half-day sessions over the course of training. The Continuity Clinic includes evaluation of performance data for resident’s panel of patients.
  • Exposure to each of the Internal Medicine subspecialties and neurology, and an assignment in geriatric medicine.
  • An emergency medicine experience of four weeks in the PGY1.
  • Electives available in experience in psychiatry, allergy/immunology, dermatology, medical ophthalmology, office gynecology, otorhinolaryngology, non-operative orthopedics, palliative medicine, sleep medicine, and rehabilitation medicine.
Learn more about the medicine curriculum