Mother Child W Physician

Pediatric Medical Education

About the Med-Peds Residency Program

all
Applying to Our Program
  1. A Complete ERAs Application Form
  2. Curriculum Vitae
  3. Personal Statement
  4. Photograph
  5. Dean's Letter
  6. A minimum of 3 Letters of Recommendation
  7. Transcript
  8. USMLE or COMLEX National Board Examination results

If you have been in another residency training program, please include a letter from your previous program director. Applications will be accepted through ERAS beginning September 15, 2018 for the upcoming Match.

The Hospitals

Medical College of Wisconsin Med-Peds Residents have the benefit of working in a very diverse environment. Residents spend the majority of their inpatient time rotating through one of the four main teaching hospitals: Children's Hospital of Wisconsin, Froedtert Hospital, the Zablocki Veteran's Administration Hospital, and Wheaton Franciscan's St. Joseph Campus. Each hospital provides a unique experience which enhances the overall educational aspects of each clinical rotation.

Children's Hospital of Wisconsin
Located on the Milwaukee Regional Medical Center Grounds, Children's Hospital of Wisconsin (CHW) is one of the leading centers for pediatric health care in the United States. The hospital provides inpatient care, including transport of critically ill or injured children and intensive care services, and more than 70 specialty outpatient clinics that care for the full range of pediatric health care needs.

  • 306 beds, 72 ICU beds, 69 NICU beds
  • Level 1 trauma center
  • 26,285 admissions in 2017. 71,422 ER visits in 2017
  • Children’s ranked in 10 specialties included in U.S. News & World Report’s 2017-2018 Best Children’s Hospital report
  • Named a Level 1 Children’s Surgery Center by the American College of Surgeons
  • 151 Children’s physicians are listed on the 2017 Best Doctors in America List

Froedtert Hospital
Froedtert & the Medical College of Wisconsin Froedtert Hospital, the primary adult teaching affiliate for the Medical College of Wisconsin, is a 516-bed academic medical center that delivers advanced medical care. Froedtert Hospital is nationally recognized for exceptional physicians and nurses, research leadership, specialty expertise and state-of-the-art treatments and technology. It serves as an eastern Wisconsin referral center for advanced medical practice care in 37 specialties and is a major training facility with more than 1,000 medical, nursing and health technical students in training.

In partnership with the Medical College, it is also a respected research facility with more than 2,000 research studies, including clinical trials, conducted every year. Froedtert Hospital operates the region’s only adult Level I Trauma Center. Froedtert Hospital is located on the Milwaukee Regional Medical Center campus. Campus partners are the BloodCenter of Wisconsin, Children’s Hospital of Wisconsin, Curative Care Network, the Medical College of Wisconsin, and the Milwaukee County Behavioral Health Division.

  • In 2017, for the third year in a row, Froedtert Hospital ranks among the nation's top-performing academic medical centers, according to an annual study by Vizient
  • In U.S. News & World Report, Froedtert Hospital ranks nationally in four specialties: Gynecology, Nephrology, pulmonary, and otolaryngology
  • For the 3rd time, Froedtert Hospital received the prestigious Magnet designation for nursing excellence by demonstrating superior quality in nursing care. Only 6.7% of
  • 6,000 health care organizations have achieved Magnet designation.
  • Over 300 Froedtert and MCW physicians were selected for the Best Doctors in America list.
  • The Human Rights Campaign Foundation recognized Froedtert Hospital as a "Leader in LGBTQ Healthcare Equality"
  • 29,386 admissions in 2017
  • 932,00 outpatient clinic visits annually

Clement J. Zablocki VA Medical Center
The Clement J. Zablocki VA Medical Center is located on 125 acres on the western edge of Milwaukee, 6 miles southeast of the Milwaukee Regional Medical Center Grounds. The Medical Center delivers primary, secondary, and tertiary medical care in 168 care acute operating beds and provides over 500,000 visits annually through an extensive outpatient program.

  • Regional tertiary care center for VA system
  • Staffed exclusively by Medical College of Wisconsin physicians
  • Nursing home care unit of 113 beds offers geriatric programming
  • 356 domiciliary beds for substance abuse rehabilitation, psychiatric rehabilitation and post traumatic stress disorder care
  • Newly remodeled/updated primary care clinics and wards
  • National VA electronic medical record/online order system

Wheaton Franciscan St. Joseph's Campus
Wheaton Franciscan St. Joseph's Campus began when three Franciscan Sisters arrived on a mission to provide nursing care to Milwaukee in 1879. Today, the St. Joseph Campus is an academic, referral, tertiary level care facility providing acute and subacute care for their licensed 538-bed hospital in the heart of Milwaukee.

  • Second largest private hospital in Milwaukee
  • Primary community teaching hospital
  • Approximately 80,000 ER/year
Benefits, Conditions and Terms of Employment
Global Health Track

Milwaukee’s population is culturally diverse, and within the confines of Children’s Hospital of Wisconsin we serve a global community. Given the current U.S. national government’s dedication to improving healthcare in this country, as well as local efforts by the Board of Directors of the Children’s Hospital and Health System of Wisconsin to have the healthiest children in the nation, it is imperative that we train future physicians to confidently treat all patients, regardless of ethnic background. Sixty percent of the residents who receive training at Children’s Hospital remain in Wisconsin to care for children in our community—a community that continues to see a large influx of immigrants, international adoptees, growing healthcare disparities and increasing demand for medical pre and post-travel counseling. To best serve our community, and to equip our pediatric trainees to become competent pediatricians globally, the Department of Pediatrics offers a Global Health Training Track.

2017-18 Med-Peds Global Health Training Track Representatives:

Peter Cote, MD-PGY2
Sona Cote, MD-PGY2
Ben Lipanot, MD-PGY2
Andrew Rose, MD-PGY2
Cameron Malone, MD-PGY3
Keowa Bonilla, MD-PGY4
Katrina Byrd, MD-PGY4
Abby Walch, MD-PGY4

johnsonuganda1

“I had the wonderful opportunity to participate in a global health elective at Patan Hospital in Nepal during my 3rd year of residency. My experience there was eye-opening and, I believe, very formative to my future career as a physician. The people of Nepal are the most amicable and hard-working people I have ever met in my entire life. There was such a sense of community and teamwork not only amongst the patients and their families but also amongst the medical team which I was lucky enough to observe and learn from their interactions. I helped to take care of patients that presented with conditions that we do not often see in the United States including mumps, tuberculosis, and organic phosphate poisonings and feel better prepared to manage these conditions should they present in our population or in travelers returning from abroad. I also learned an immense amount from the incredible clinical skills of the Nepali physicians who rely more on their excellent history-taking and physical examination skills to guide their assessments and management plans rather than diagnostic tests. My own clinical knowledge and practice was strengthened by directly observing the residents and physicians that I worked with in Nepal. I feel so fortunate to have been able to participate in a global health rotation through the global health track as I know that the knowledge and skills I learned while there will have a positive impact on my future career and have made me a more culturally competent and caring physician.” – Abby Walch, MD (2018-19 Chief Resident)

johnsonuganda4

johnsonuganda2

Other Specialized Tracks
In addition to Global Health, our program offers each resident the option of participating in one of three different tracks: Primary Care, Hospitalist, and Research. Each of these tracks permits residents to use elective rotations to complete requirements that are designed to prepare them for specific careers. Residents who complete the requirements will earn a certificate of completion at the end of their residency training, confirming their participation in an enriched residency curriculum. Each track includes a few required experiences, a required scholarly project, suggested activities for educational and administrative development, and faculty mentorship.

It is our intent that these tracks be completely flexible, permitting each resident to individualize their training in the way that is best for them. Participation in the tracks is optional. Residents may choose to participate completely in a track; they may experience only the elements of the track that are of interest to them; or they may choose to not participate in a track at all. Our program is fully committed to supporting the individual interests and goals of each resident, while making sure that all residents complete the training requirements.
Our Graduates

The Medical College of Wisconsin's Internal Medicine-Pediatrics Residency Program was founded in 1992, with our first class of graduates finishing in 1996. Graduates from our program have gone on to a variety of careers in primary care, fellowship training, hospital medicine, and academic medicine. During the past five years, roughly half of our residents practice primary care Med-Peds with an increasing number of graduates completing further subspecialty training or entering the field of hospital medicine or international health. The training you receive in our program is well-balanced and will prepare you for endless career options.

Matthew Ehrhardt, MD, MS
Research Associate, St. Jude Faculty
2014, Pediatric Cancer Survivorship Fellow, St. Judes Children's Research Hospital
2011-2014, Pediatric Hematology/Oncology Fellow, Children's Hospital of Wisconsin 
2011 MCW Med-Peds Residency Graduate

"At MCW, excellent faculty mentorship and comprehensive training
amongst a diverse patient population have prepared me to confidently
approach the challenges of academic medicine."

2018
Keowa Bonilla, MD, Med Peds Hospitalist, Milwaukee, WI
Ashley Brunmeier, MD, Adult Cardiology Fellowship, University of Kentucky
Katrina Byrd, MD, Combined Adult and Pediatric Infectious Disease Fellowship, Brown University, RI
Kaitlyn Joyce, DO, Med Peds Primary Care, Marquette, MI
Kate Luskin, MD, Allergy & Immunology Fellowship, Scripps, CA
Abby Walch, MD, Med-Peds Chief Resident

2017
Laura Adams, MD, Adult Endocrinology Fellowship, University of Louisville, KY
Mike Girolami, MD, Med-Peds Chief Resident and Med-Peds Primary Care, Greenfield, WI
Hema Krishna, MD, Adult Cardiology Fellowship, University of IL-Chicago
Shela Sridhar, MD, Global Health Fellowship, Harvard University, Boston, MA
Stephen Wilkinson, MD, Medicine Chief Resident, University of CA-Riverside Medical School and Cardiovascular Disease Fellowship, Michigan State University

2016
Ebba Hjertstedt, MD, Global Health Fellowship, Stockholm, Sweden
Jim McCarthy, MD, Med-Peds Hospitalist, Children's Hospital of Wisconsin and Froedtert Hospital
Maura Steed, MD, Med-Peds Hospitalist, Northwestern, Chicago, IL
Sheila Swartz, MD, Med-Peds Hospitalist, Children's Hospital of Wisconsin and Froedtert Hospital
Carmen Cobb, MD, Med-Peds Chief Resident and Med-Peds Hospitalist, Children’s Hospital of Wisconsin and Froedtert Hospital and Assistant Director of Peds Global Health

2015
Brittany Bettendorf, MD, Medicine Rheumatology Fellowship, Medical College of Wisconsin and Rheumatology, University of IA
Archna Eniasivam, MD, Hospital Medicine Fellowship and Assistant Professor of Hospital Medicine, University of CA-San Francisco
Deepa Patadia, MD, Allergy and Immunology Fellowship, Ohio State
Sharon Rikin, MD, Primary Care Research Fellowship, Columbia University and Assoc Director for Ambulatory Quality Improvement, Dept. of Medicine at Montefiore-Albert
Einstein, Bronx, NY
Ryan Tomlinson, MD, Med-Peds Chief Resident and Med-Peds Primary Care, Des Moines, IA
David Vitale, MD, Peds GI Fellowship, University of Cincinnati, OH

2014
Nikiya Asamoah, MD, Adult GI Fellowship, Loyola
Jillian Ewing, MD, Med-Peds Primary Care, Brookfield, WI
Emily Fisher, MD, Epidemic Intelligence Service, Centers for Disease Control and Med-Peds Primary Care Provider, Baylor Scott & White Circle C Austin Clinic, Austin, TX
Matt Kolinski, DO, Hospital Medicine
Julie LeCleir, MD, Med-Peds Hospitalist, Children's Hospital of Wisconsin and Froedtert
Carla Meister, MD, Med-Peds Chief Resident, and Med-Peds Primary Care, Brookfield, WI

2013
Matt Buelow, MD, Peds Cardiology Fellowship, Medical College of Wisconsin
Ana Caban Cardona, MD, Med-Peds Primary Care, Menomonee Falls, WI
Jeffrey Gehl, MD, Med-Peds Primary Care, Wauwatosa, WI
Rachel Johnson, MD, Med-Peds Chief Resident, and Primary Care Med-Peds, Menomonee Falls, WI
Ben Mikeworth, MD, Med-Peds Primary Care, Pontiac, IL

Resident Spouse/Significant Other Association
Scholarly Activities

The Internal Medicine-Pediatrics Residency Program at the Medical College of Wisconsin encourages residents to pursue clinical research opportunities. Scholarship provides residents many potential benefits including: exploration of an academic career, development of credentials to bolster their fellowship application, and nurturing intellectual curiosity.

All residents are encouraged and given financial support to present their scholarly projects at a variety of regional and national meetings. In addition, the Medical College of Wisconsin's Clinical and Translational Science Institute (CTSI) supports, through pilot funding, new and promising clinical and translational projects for young investigators.

View the Faculty Collaboration Database to find a faculty member conducting research in your area of interest.

Awards
Annual Meeting of the National Meds-Peds Residents' Association

Medical Students, Residents, and Faculty are encouraged to attend the Annual Meeting of the National Med-Peds Residents' Association. The meeting will include poster presentations, case presentations, panels, and a keynote speaker on care of the underserved. If you’re a student, it’s a great time to learn more about Med-Peds as a career choice, not to mention meet up with residents and program directors. If you are a resident it is a great place to meet up with other residents from around the country, make new friends, reconnect with those who you met along the interview trail, and learn some new skills.

Social Life as a Med-Peds Resident

medpedsresidency_brewersgame_2016

One of the most important aspects of our program is the camaraderie that exists between the residents. There is no shortage of fun in the Med-Peds Program. We work hard, but we always make time for relaxation and fun. Below is a sample of the social opportunities our Med-Peds Residents get to experience throughout their residency. Also, our residents are invited to the social events and activities of both categorical programs.

Med-Peds Monthly Residency Dinners
3rd Tuesday of every month, the Med-Peds monthly residency dinner is hosted at rotating Med-Peds resident and faculty homes and includes residents' families.

Med-Peds Biennial Residency Retreat
A time for residents, staff and their families to get away for some bonding time. Held off-site, this 2-day retreat gives residents the time to reflect on their residency while bonding with their colleagues.

Graduation Celebrations
Dinners and more dinners during the month of June. A great time to celebrate the achievement of our graduating seniors.

Internal Medicine-Pediatrics Residents

Yes, Milwaukee!
Milwaukee is a wonderful community that has the advantage of an urban, metropolitan city without the stress or cost. Milwaukee offers a variety of career opportunities, excellent universities, low commute times, diverse neighborhoods, affordable housing and abundant recreational choices. Milwaukee also boasts professional sports teams, museums, outstanding restaurants and performing arts comparable to cities more than twice its size. The Milwaukee Region’s size, accessibility and friendliness are among its greatest attributes. It’s easy to meet people and maintain acquaintances. Not to mention, Milwaukee is less than 80 miles away from Chicago – a good perk if you are looking for a quick weekend getaway.

There is no shortage of recreational activities in Wisconsin. In Milwaukee County alone, there are more than 15,000 acres of parks, the greatest acreage per person in the country. In 2009, the Milwaukee County Parks System was awarded the National Gold Medal for Excellence by the American Academy for Park and Recreation Administration and the National Recreation and Park Association. We have an abundance of biking trails, golf courses and a strong running community.

Whether you are here for a day, a weekend or your residency, you can have a variety of experiences, making it a perfect place to explore. Find your perfect itinerary at Visit Milwaukee!

The Big City of Little Neighborhoods
Milwaukee is not so much a city as a large collection of neighborhoods situated on the shores of Lake Michigan, often referred to as the Big City of Little Neighborhoods. With eleven distinct neighborhoods, Milwaukee has a huge variety of affordable housing options not to mention the beautiful suburbs just to the south, west and north of the Medical Complex. Current and past MCW residents have lived everywhere from revitalized warehouse buildings overlooking Lake Michigan in the Historic Third Ward neighborhood to farmhouses with lots of extra land and everywhere in-between, all within a short commute to the Milwaukee Regional Medical Complex.

As a starting point, please feel free to visit the following sites for a look into what neighborhood or suburb might be right for you:

Visit Milwaukee

Real Estate Search

The Clinics

Training a well-rounded med-peds physician requires in-depth patient exposure in both the inpatient and outpatient settings. Our continuity clinic experience pairs a resident with a clinical preceptor from the first month of training. This primary care experience offers residents an in-depth experience: well child care, adult preventative care, and diagnosis/treatment/long-term management of diagnosis of common and complex medical problems. Our continuity clinic preceptors supplement evidence-based practice with over 225 years of combined post-graduate patient care experience. Each resident spends at least one half day a week in their continuity clinic. Most residents choose to participate in a combined med-peds continuity clinic, but opportunities are available for those residents who choose separate internal medicine and pediatric clinics as well. Program leadership also work with individual residents to offer additional opportunities to spend time in the continuity clinic (Outpatient Med-Peds rotation, two weekly clinics for residents planning careers in primary care, etc.)

The resident-run Continuity Clinic Committee enhances the continuity clinic experience by overseeing the educational curriculum and utilizing resident feedback in real time to make improvements to our outpatient experience. Duties of the Committee include scheduling and facilitating the Friday Med-Peds Primary Care Conference, which includes a weekly rotation of resident-led/preceptor-mentored interactive primary care lectures as well as sponsoring guest experts who come in from outside the program to teach our residents about specific aspects of primary care.

Combined Med-Peds Continuity Clinics

Aurora Advanced Healthcare Ridgefield Clinic
The Ridgefield Clinic is staffed by the Internal Medicine-Pediatrics physicians, Drs. Dominski and Brueggeman. This suburban practice represents an excellent opportunity for resident continuity clinic and student teaching. This clinic also houses award winning teachers and boasts some of the highest ratings for quality of education in resident training.

Ascension Columbia St. Mary's Clinics
Ascension Columbia St. Mary's Germantown, Mayfair and Grafton Clinics provide an array of services and specialties in addition to Med-Peds trained physicians. These Ascension CSM Clinics are staffed by the Internal Medicine-Pediatrics physician Dr. Dirk Steinert, and our own graduates, Drs. Burrows, King, Momper, Reinbold, and Weber.

Froedtert and the Medical College of Wisconsin Community Physician Clinics
Moorland Reserve Health Center
The newest of the Froedtert and the Medical College of Wisconsin Community Physician Clinics, Moorland Reserve Health Center serves most of the suburbs southwest of Milwaukee and all of Waukesha County. Moorland Reserve Health Center not only houses primary care services, but also a wide-variety of specialty and diagnostic services. Med-Peds residents staff with Internal Medicine-Pediatric Physician and program graduate, Dr. Sobczak.

North Hills Health Center
Located in a northwest suburb of Milwaukee, North Hills Health Center houses not only primary care, but subspecialty clinics including OB and Endocrinology. Anchored with primary care including Med-Peds and Internal Medicine, NHHC serves a diverse patient population and is staffed by the Internal Medicine-Pediatric Physicians, Drs. Barkimer, and our own graduate Dr. Ana Caban Cardona.

Springdale Health Center
Located 10 miles west of Milwaukee, Springdale Health Center opened in August, 2008 with a group of Med-Peds, Ob-Gyn, and Internal Medicine physicians. Leadership at Springdale includes expertise in clinic management, medical education and medical informatics. Med-Peds residents staff with Internal Medicine-Pediatric Physicians, Drs. Cada and Obermyer.

Tosa Health Center
Built in 1998, Plank is a multidisciplinary academic primary care site approximately 1 mile west of the Medical College of Wisconsin campus. Med-Peds, Family Medicine, Internal Medicine, and Pediatrics are all represented at this site. Tosa Health Center also houses an After Hours clinic, which provides both excellent patient care and a terrific training experience. Preceptors at Tosa Health Center include Internal Medicine-Pediatric Physicians, Drs. Lodes, Malcom, and Gehl (Program Graduates), in addition to Dr. Charlene Vander Zanden, Internal Medicine Physician.

Westbrook Health Center
Westbrook Health Center is located 10 miles west of Milwaukee in Waukesha. In addition to Med-Peds providers, Westbrook has rheumatology and sports medicine specialists, along with in-house imaging and laboratory services. Med-Peds residents staff with Internal Medicine-Pediatrics physicians, Drs. Kalt and program graduates Drs. Ewing and Meister.

Oak Creek Pediatrics
Oak Creek Pediatrics is located 15 miles south of Milwaukee. Affiliated with Children’s Hospital of Wisconsin, Oak Creek Pediatrics is one of the main teaching clinics for our Department of Pediatrics’ Residency Program. Med-Peds Residents staff with Pediatric Physician Dr. Katie Fee, a graduate of the MCW Peds Residency Program.

ProHealth Care Medical Associates
Located 30 miles west of Milwaukee in Waukesha County, ProHealth Care Medical Associates provides comprehensive primary and specialty care for people of all ages in Waukesha County. Med-Peds residents staff with Internal Medicine-Pediatrics physician, Dr. Lenz.

A Typical Day

Med-Peds residents transition between internal medicine and pediatric rotations every 4 months, which provides optimal time in the specialty and also allows the residents to experience seasonal changes that occur in certain disease patterns. Rotations are structured such that each experience builds on the last one.

Intern on Pediatrics (on wards)

Shannon Murray, MDShannon Murray, MD
PGY-1, University of Wisconsin-Madison

6:00 am: I arrive at the hospital at 6:00 am. I see 4 to 8 patients, depending on the season. Notes are written in the morning.

7:45 am: I head to Morning Report where cases are discussed with colleagues, chief resident and attendings.

8:30 am: The team reconvenes (senior resident, five interns, one SMS, 3-4 JMS's). I begin our rounding with the senior resident and attending. Rounding takes approximately 2 hours depending on the census. I will then call primary care physicians, when rounds are done, if our team has non-hospitalist patients. If I am on the Red or Green team, I round with the hospitalist attending. If I am on the Purple or Orange team, I round with the sub-specialty attending.

noon: I attend noon conference where primary care and sub-specialists present various topics. Every Monday there is a case presentation to Dr. Kliegman, giving us the chance to interact with the Peds Chair. Thursday is Professor's Rounds where senior residents present cases and grill the attendings! Board review and journal club sessions are wrapped monthly into the noon conference schedule.

1:00 pm: I finish staffing patients, write notes if needed, and follow-up on studies and consults. This is also the time I admit patients from the ER and clinics. If work is done, I will pick a teaching point to talk about with students and seniors. This is also the time I have my continuity clinic which I go to once per week.

5:00 pm: If I am the call intern (1 out of every 4 days), I stay until 8:00 pm admitting patients and taking care of our team's patients. If I am not the call intern, sign-out starts at 5:00 pm.

Night float: The night float intern rotates weekly. For example, if I am on the Green Team, I will be that team's overnight intern for one, six-day stretch starting Monday evening and ending on Sunday morning. I will arrive at the hospital at 5:00 pm and get sign out from short-call intern. I will then admit patients overnight with the help of a senior resident. I finish up my work in the morning, hand-off the new admissions to the day-time intern, discuss patients at morning report and leave for home by 8:30 am.

Intern on Medicine (on a ward month)

Helen Padden, MDHelen Padden, MD
PGY-2, University of Illinois

7:00 am: I arrive at Froedtert 6:45-7:00 am, get sign out from the on-call team, then round on 3 to 8 patients by 8 a.m.

8:00 am: I meet with my team (attending, senior resident, 2 interns, one SMS, 1-2 JMS's) for work rounds. Interns are all paired with a junior medical student. We walk rounds to see patients, staff new patients and write orders.

12:00 pm: I attend Noon Report where senior residents present cases, or an attending gives a presentation

1:00 pm: I call consults, follow-up any studies, work on logistics of care (calling specialists/imaging/Social work), attend care meetings, and finish up notes. If on Daytime Admit Team (DAT) (1 in 5 days), my team will admit up to 5 patients from 10 a.m.-4 p.m. On Wednesdays I attend Academic Half Days and lectures until 3:15 pm. During this time, the senior resident keeps intern pagers and covers for the team. This is also the time I attend my continuity clinic (once per week).

4:30-5:00 pm: If not a DAT day or on call, I sign out to the on-call team. If a DAT day, I will probably be at Froedtert until 6:00-7:00 pm. When my team is on call (every 5th night), I will alternate between being the day intern or the overnight on-call intern. The on-call intern will stay for an overnight shift with the senior resident and senior medical student, covering non-overnight teams and doing admissions that come overnight. The day intern will do admissions during the call day but go home at night after completing admissions and cover the team the next day after the post-call intern and senior residents have signed out to them.

Resident on Pediatrics (on a non-ward month)

Jaber Besma, MDBesma Jaber, MD
PGY-4, University of Minnesota

8:00 am: For an elective month, I begin my day either in the subspecialty clinic for that rotation seeing patients with the attending. If I am on a consulting service, I start my day by rounding on patients at Children's Hospital with the attending. Typically we have 2-5 consults per day, depending on the service. When on a consult service, I will check in on my existing patients before rounds, and discuss with the attendings regarding any consults or issues that arise on existing patients.

12:00 pm: I attend noon conference where primary care and sub-specialists present various topics. Thursday is Professor Rounds where senior residents present cases and get to grill attendings from all different specialties about what they think is going on in the case! Board review and journal club sessions are wrapped monthly into the noon conference schedule.

1:00 pm: I either return to clinic or round on new consults with the attending. This is also the time I have my continuity clinic which I go to 1-2 times per week. If time allows, I will read independently.

4:00 pm: This is the time I wrap-up my day. I complete my consults, notify teams of recommendations and follow-up on any additional patient care items. Then I GO HOME!

Resident on Medicine (on wards)

Lindsay Hoogenboom, MDLindsay Hoogenboom, MD
PGY-4, Case Western

7:15 am: I usually get to Froedtert between 7:15-7:30 a.m., depending on patient census and how my team is doing. If I'm lucky and got a good night's sleep before, I might get up earlier to go to the gym before work. I check in with the interns and medical students on my team and review the charts of patients admitted to my team. I try to see most of the patients on my team, prioritizing new patients, sick patients, and those that I would like to send home that day.

8:30-9:00 am: Depending on the attending, will usually start rounding sometime between 8:30-9:00 am. We will discuss each patient, make a plan for the day, and usually check in with the patient or family.

Morning: I usually spend the morning helping interns with the plan established on rounds, making phone calls, writing notes, and teaching medical students if there is time. Depending on the call schedule we may start getting new admissions in the morning.

12:00 pm: Take lunch to go to noon conference, which is a mix of case reports, lectures, and other teaching sessions.

1:00-3:30 pm: Again, depending on the call schedule (each team admits 2 out of every 5 days) we may potentially be getting admissions. Generally, I will work with the intern and medical to see the patient and establish the plan. We may or may not staff them with the attending that afternoon. Otherwise, I am following up on the plans we established for the day, meeting with patients who need more time or communication, and helping the team discharge patients, etc.

4:00 pm: If it is not an admitting day, we are able to sign our patients out to the on-call resident (the senior resident is on call 1 out of every five nights) and go home and see my dogs :). If we are the short call team, typically we have to wrap up some admissions and try to leave by 6-7 p.m. If we are the long call team, we stay overnight (myself, an intern and potentially a senior medical students) and admit patients until 2:00 am. We can get a maximum of 8 patients in 24 hours and have from 2:00-7:00 am to prepare for rounds and get some sleep.

The Program

Residents

Number of Residents:
6 per year

Categoricals:
23 per year pediatrics
24 per year internal medicine

Other programs:
1-2 per year Internal Medicine/Neurology
2 per year Medicine-Geriatrics
12 per year preliminary
2 per year Pediatric preliminary
1 per year Internal Medicine Research Pathway
2 per year Internal Medicine Primary Care Pathway
1 per year Peds/Anesthesia

Rotations

Guiding Principles:
Maximum Flexibility
Maximum Exposure
Minimum Transition

The Basics:
4 month blocks
2 seasons on each side
2 switch days (in addition to July 1)

Internship: 16 months
View the rotations chart (XLS)
Because we rotate between Medicine and Pediatrics every 4 months, it’s easiest to think of residency as 3, 16-month “blocks”, which roughly correlate with the 3 years of the categorical programs.

Categorical Programs:
Internal Medicine Residency Program
Pediatrics Residency Program

Med-Peds Links

American Board of Pediatrics
The mission of the American Board of Pediatrics (ABP) is to promote high quality health care during infancy, childhood, adolescence, and the transition into adulthood through assuring that the general pediatrician or pediatric subspecialist has successfully completed accredited training and fulfills the continuous evaluation requirements that encompass the six core competencies: patient care, medical knowledge, practice-based learning and improvement, interpersonal and communication skills, professionalism, and systems-based practice. A special agreement exists with the ABP and the ABIM where an applicant may fulfill the training requirements of both the ABP and the ABIM by completing 2 years of accredited training in general comprehensive pediatrics and 2 years of accredited training in general comprehensive internal medicine in an integrated program. An applicant may not take the certifying examination of the ABP until all 4 years of training have been successfully completed.

American Board of Internal Medicine
The mission of the American Board of Internal Medicine (ABIM) is to enhance the quality of health care by certifying internists and subspecialists who demonstrate the knowledge, skills, and attitudes essential for excellent patient care. The ABIM and the ABP offer dual Certification in internal medicine and pediatrics. A candidate for dual Certification must receive training in a program approved by both Boards and must be an ACGME accredited combined Internal Medicine/Pediatrics program.

American Academy of Pediatrics
The mission of the American Academy of Pediatrics (AAP) is to attain optimal physical, mental, and social health and well-being for all infants, children, adolescents and young adults. To accomplish this, AAP supports the professional needs of its members. The Section on Internal Medicine & Pediatrics (Med-Peds) advocates for Med-Peds Physicians and helps ensure a united voice on activities, research, advocacy and education that is important to med peds physicians.

Society of General Internal Medicine
The Society of General Internal Medicine (SGIM) was founded in 1978 by a national group of academic general internists committed to promoting research and education aimed at improving healthcare for the whole patient. Today, SGIM is a diverse community of physician and other health professional educators, researchers and clinicians, and students and trainees, all of whom are committed to lead excellence, change, and innovation in clinical care, education, and research in general internal medicine.

Med-Peds Program Directors Association
The Association was formed to advance medical education in combined Internal Medicine-Pediatrics (Med-Peds) Residency Programs, which are approved by the American Board of Internal Medicine and the American Board of Pediatrics. MPPDA will work in conjunction with the Association of Pediatric Program Directors (APPD) and the Association of Program Directors in Internal Medicine (APDIM) to improve medical education, promote the growth of combined Internal Medicine Pediatrics residencies, educate medical students as to the existence and curriculum of Medicine Pediatrics residencies, and promote the growth of the field of Med-Peds.

National Med-Peds Residents Association
NMPRA is a resident-driven organization dedicated to providing information, opportunities, and programs to current and future Med-Peds residents.

Frequently Asked Questions

all
Are residents given appropriate responsibility for patient management?
Yes, residents are given progressive responsibility with close faculty supervision as defined by the ACGME.
Are residents given the opportunity to participate in global health medicine?
Yes. Established in 2007, the Medical College of Wisconsin Department of Pediatrics Global Health Program is an integral part of the Med-Peds Residency Program. Currently, 12 Med-Peds residents are enrolled in the Global Health Track.
Are there any meetings solely for Med-Peds residents?
Yes, one dedicated Med-Peds Noon Conference is offered each week. In addition, there is a monthly dedicated Med-Peds dinner, a yearly Med-Peds graduation, Med-Peds intern welcome activities, a 2nd year Med-Peds luncheon, and a Med-Peds biennial retreat.
Are there enough patients to provide a strong training experience?
Absolutely. One of the benefits of the Medical College of Wisconsin is the depth of rich patient care experiences, including both common and complex disease processes and also wellness and preventative care.
Can I do a visiting student clerkship at MCW?
Yes, visit the Medical School website.
Can residents participate in research?
Yes, this is highly encouraged, but not required to graduate other than completing a Quality Improvement/Scholarly Project per ACGME requirements.
Does MCW have an advisor system?
Yes, there is a formal Resident Advisor Program offered every year.
Does MCW offer combined Med-Peds and international electives?
Yes
Does the program pay for any conferences?
Yes, there is a travel fund up to $1500 to attend a conference during residency. Additional funds may be available for residents who are presenting research at meetings.
Do residents follow their own patients when they are hospitalized?
This is ideal, although varies based on rotation and availability. Residents may select an electronic message and/or their continuity clinics may notify the resident of patients that are hospitalized.
Do you have a night float system?
Yes
How are new residents oriented to the residency program?
There is a formal orientation process that includes hospital systems orientation, computer systems orientation, PALS and NRP training, policies and procedures review, rotation overviews, library resources, medical track overviews, general competencies and case-based discussions, etc.
How are PGY-1s supported by the Residency Program?
PGY-1 residents are given extensive orientation prior to beginning internship and are encouraged to attend the weekly Med-Peds noon conferences and monthly Med-Peds Dinners, including the PGY 1 welcome activities. In addition to the Med-Peds Program Director, Associate Program Director, and Coordinator, there is a dedicated Med-Peds Chief Resident that is also available 24/7 for questions and support of the PGY-1 residents.
How are residents evaluated?
Residents are evaluated on each rotation via a standardized evaluation form by the faculty based on the ACGME Milestones. Residents are also evaluated by peers, patients/families, support staff, and self-evaluations.
How do residents contribute to the educational experience at the Medical College of Wisconsin?
Residents may be assigned medical students on various rotations. Residents are also given the opportunity to teach medical students at other times including medical interviewing courses, physical exam workshops, bioethics small group discussions and career networking.
How long is the MCW Med-Peds internship?
16 months
How many Med-Peds-trained faculty are there at MCW?
There are over 40 Med-Peds trained physicians affiliated with the Medical College of Wisconsin.
How many months do residents spend at the Hospitals?
Approximately half of the inpatient training occurs at each location, although other sites include the VA Medical Center and a community-based hospital site, St. Joseph's Hospital.
How much emphasis does the program place on primary care and ambulatory care training?
Primary care and ambulatory training are essential to Med-Peds training. In addition to continuity clinics and ambulatory rotations, there is a dedicated Outpatient Med-Peds Continuity Clinic Curriculum and Outpatient Med-Peds rotation months.
How much time do residents spend in the outpatient setting?
In addition to outpatient rotations, resident continuity clinics are offered at minimum once weekly to interns and twice weekly to 2nd, 3rd and 4th year Med-Peds residents, pending schedule availability.
How often do residents switch between departments?
Residents switch between internal medicine and pediatrics every 4 months. This allows for the ability to see seasonal variability in illnesses, but still provides adequate time in each specialty.
How often do residents take in-training examinations?
Both internal medicine and pediatric in-training examinations are offered and paid for by the program yearly.
Is there a board review course?
Yes, for both internal medicine and pediatrics.
What are the advantages of training at MCW?
MCW provides a strong foundation for careers, including primary care, hospitalist or fellowship/subspecialty.
What are the main characteristics the program is seeking in house officer candidates?
We are seeking well balanced house officer candidates with excellent communication and a commitment to provide the highest standard of patient care.
What are the social, cultural, economic and racial make-ups of patients at MCW?
Very diverse, similar to the city of Milwaukee.
What is the diversity of residency programs at MCW?
The Medical College of Wisconsin Affiliated Hospitals (MCWAH) is committed to the recruitment, training and graduation of talented residents from diverse backgrounds. Dr. Katrina Byrd, a Med-Peds 2018 graduate, is the former chairperson for the Under-Represented in Medicine Housestaff Committee. Dr. Ana Caban Cardona, Med-Peds 2013 graduate, was a prior chairperson.
What is the night call schedule?
On pediatric ward rotations, interns are overnight for a single six-night stretch per month from 5:00 pm until 7:00 am. On medicine ward rotations, interns are overnight in the hospital once every 10th night for a 24-hour shift with additional 4 hours to tie up loose ends on previous patients. Senior medicine residents are overnight every 4th night or every 5th night depending on the ward assigned. In the NICU, senior residents work from 6:00 am overnight until 10:00 am every 4th night.
What is the overall emphasis of the career choices of former residents?
There is a balance of primary care, hospitalists and fellowship applications from former residents.
What is the payer mix at MCW?
There is a mix of private insurance, uninsured and Medicare/Medicaid.
What opportunities for research exist within the residency program?
The Medical College of Wisconsin has a wealth of research opportunities that includes The Clinical and Translational Science Institute (CTSI) of Southeast Wisconsin. The CTSI represents a unique and transformative collaboration among the Medical College of Wisconsin, its campus research partners, and major academic institutions in southeast Wisconsin. The CTSI recently joined the National Consortium with a prestigious NIH grant award. All residents participate in a Quality Improvement project in compliance with the ACGME and additional projects as per their individual career goals.