Mother Child W Physician

Pediatric Medical Education

Med-Peds Residency Program

About our Program

all
The Program

Residents

Number of Residents:
6 per year

Categoricals:
24 per year pediatrics
27 per year internal medicine

Other programs:
1-2 per year Internal Medicine/Neurology
2 per year Medicine-Geriatrics
8 per year IM preliminary
1 per year Pediatric preliminary
1 per year Internal Medicine Research Pathway
2 per year Internal Medicine Primary Care Pathway
1 per year Peds/Anesthesia
2 per year Peds/Neuro
2 per year Medicine/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) throughout the year

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
Pediatric 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.

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)

Courtney Gaberino, MDCourtney Gaberino, MD
PGY-2, Medical College of Wisconsin

6:00-7:45 am: I arrive to the team room and receive sign-out from the overnight intern. We divide the new patients and begin pre-rounding. I review overnight events, vitals, new progress or consultant notes, labs and other data. I then go to the bedside to see my patients, check-in to see how they are doing, and perform physical exams.

7:45-8:30 am: We have group teaching every morning. Intern morning report (IMR) occurs Monday through Thursday. On Fridays, instead of IMR, we have Grand Rounds. At IMR one of the interns presents an interesting patient case from one of the teaching teams to the other learners in the room. This allows for interactive case based discussions on varied disease processes.

8:30-11:00 am: We do patient family centered rounds at the patient’s bedside with our entire team, including our attending physician. We discuss plans for the day and make sure to answer all of our patients’ and their families’ questions. These rounds also include other important support staff (i.e. nurses, pharmacists, dieticians and case managers) to help make team-based patient plans.

11:00 am-12:00 pm: This is a nice time to complete time sensitive patient care tasks. This could include calling consults that we may not have yet contacted with our mobile team phones on rounds, placing additional orders if needed, completing medication reconciliations and discharge plans for patients that will be discharged today, and writing notes.

12:00-1:00 pm: Every day I go to noon conference. There is a different topic each day. These conferences can include faculty teaching presentations, journal clubs (evidence based medicine), professor rounds, or track days.

1:00-5:00 pm: We continue to complete our patient care tasks throughout the day. We may also admit new patients to our team and follow up on consultant recommendations. I also go around and check in on my patients to make sure they were updated with any new results, plans, and/or consultant recommendations. I also make sure to update my written handoff on my patients as the shift comes to an end.

5:00-5:30 pm: We sign-out to the night team and then go home!

 

McIntosh-Lauren

Lauren McIntosh, MD
PGY-2, Medical College of Wisconsin

5:45AM- First alarm goes off. Snooze that alarm and pull the covers up. I set a second one for a reason!

5:55AM- Second alarm goes off. This time its real. Blindly search for glasses on the nightstand and make my way to the bathroom to get ready for the day.

6:15AM- Make an awesome yogurt parfait to go. No time to eat it before I leave, but looking forward to the enjoying while pre-rounding.

6:20AM- Start the commute to the hospital. I have my 4 current pump up songs on a playlist (which matches the exact amount of time I have in the car), so I get that started and hit the road.

6:45AM- Head to the overnight team to get sign out on our team’s patients. Nothing big overnight and our patients with heart failure all met their net negative fluid goals! I head back to our team room to share the sign out and my co-intern, senior resident, and 2 medical students are all waiting for updates and thankfully one of the medical students has a spotify account and already has the morning music playing.

6:55-8:45AM- This is when all the pre-rounding happens. I take out the parfait I made earlier and start looking over all the vitals, labs, overnight nursing and consult notes, new images and any other data I can extract from the medical chart. Any concerning findings are addressed right away (all that diuresing left one of our patients in need of some potassium supplementation!) and then our team splits up to see all of our patients before our attending arrives. I provide updates to my patients and let them know what I think they might hear us discussing on rounds. At least one patient is bound to have a great joke or saying to share with the team when I get back to the team room.

8:45AM- Our team meets back in our team room and we discuss and address anything pressing that we found on our physical exams or discussions with our patients. At this point it might be clear that some patients need to be seen by specialists and we put those consults in. I touch base with the medical student who is also helping to take care of some of my patients and we discuss their findings and plan for the day so they are ready to present for the day.

9AM-11:30AM- Attending arrives and it is time for formal rounds. Depending on the attending, we either do sit down/work rounds in our team room and then walk to see our patients, or we walk to each patient and present at each room. We plan on coming back to discuss a complex plan in more detail with a patient. Our team is admitting 5 new patients today and we receive a page about a new admit- the other intern will take this first one. The rest of us finish rounds and attend Care Coordination Rounds (this is a chance for our team to meet with social work, case management, nursing, physical therapy, occupational therapy, and dieticians to address the needs of each patient in a holistic manner and best prepare out patients to succeed when it is time to discharge).

11:30AM- Back to the team room. We run the list with our senior and I create my “To Do” list for my patients. I put in new orders and call any additional consults that are needed. I try to write notes that I might be able to squeeze in before conference.

12:00PM- Time for lunch and noon conference! I head to the cafeteria to get my usual, fiesta chicken salad, and then sign into conference. A patient case is presented and one of the Chief Residents walks us through creating a differential and provides teaching points (today was a new diagnosis of liver failure!). My pager goes off at 12:45 that our team has a new admit so I go back to our team room to start learning about this new patient.

1PM-5PM- The senior resident and I work on our new admit and meet him in the Emergency Department. We think he might have Endocarditis so we put in all the admit orders and get an ECHO. While we wait for that, our consult services provide recommendations on our other patients. I walk back to the patient who had more questions about their diagnosis and (poorly) draw kidneys, ureters, and a bladder to better explain kidney stones and hydronephrosis. We have more time to sit down with patients than during the morning and this is the part I truly enjoy the most. I feel accomplished as I start crossing out boxes on my to-do list. We update patients and family members and our team admits 3 more patients. This is when I would attend my continuity clinic on Thursdays and Intern Academic Half Day from 1-330pm on Wednesdays.

5PM-6:30PM- Finish up notes for the day and h&ps on our new patients and make sure all our evening orders and orders for our new admits are in. Our amazing medical students have already worked on our sign outs so I just have to add any last minute updates and then it is time to sign out to the overnight team.

6:30PM- Time to get home! Most likely play the same 4 songs that I played on the way to work- it’s just timed so perfectly- or call a friend or family member.

7PM- Time to make dinner and then go over the emails I quickly checked during the day, read (about patients and for fun), watch Stranger Things, or catch the last hour of Jazz in the Park!

10:30- How is it 10:30 already?! Time to get ready for bed! And make sure I set those two alarms for tomorrow!

 

ben-lipanotBen Lipanot, MD
PGY-4, Medical College of Wisconsin

5:00-5:35 am: I wake up and take my husky for his morning walk. Then we both have our bowls of breakfast. Sometimes we come across my wife depending on her rotation as an ED resident. If the weather allows, bike 18 minutes to the hospital or otherwise drive to work.

6:00am-7:30 am: I get signout from the overnight senior about any new admissions or overnight events and then stop by any really sick patients on my way to the team room. I check with the interns to answer any immediate questions or worries about patients before doing a brief chart review and seeing all of the new patients, sick patients, and patients I expect to discharge. If time allows, I will see all of the patients on the team.

7:30-8:30 am: I check in one more time with the interns before heading to Senior Resident Rounds. This is one of my favorite parts of the day during wards. We meet with all of the senior residents on wards teams along with several attendings, including Dr. Robert (Bob) Kliegman who is the editor of Nelson’s Textbook of Pediatrics. We discuss interesting or difficult cases and the clinical reasoning behind what to do next or what was done.

8:30-11:00 am: Depending on what time we start rounds, I run through plans for the day with interns and our sub-intern, decide how to organize rounds, and have the team start putting in orders to get tasks moving for the day.  We complete family centered rounds where I am expected to lead rounds and keep the team on task. The interns and medical students are excellent at getting nursing, case management, and prior consults to round together with us to facilitate communication within the medical team and with families.

11:00 am: I help the team by making sure all consults are called and orders are in before noon conference. Since we admit all day on pediatrics, we may have to start and possibly complete an admission. I will see these patients before going to noon conference.

12:00 pm: Head to noon conference that could be a faculty topic lecture, journal club, case presentations, professor rounds, or my Global Health track conference. Lunch in provided to residents to eat during conference.

1:00 – 5:00 pm: I continue to assist interns and the sub-intern with getting daily work done. I assign new admits to an intern and guide them as much or little as they need to staff with the on-call attending. Usually there is time to go through a teaching topic with the interns and medical students led either by our attending or me.

5:00 pm: We sign out to the overnight senior resident and help clean up any last minute issues before heading home.

6:00 pm: I get home and exercise, walk the husky again, have dinner with my wife when we’re both home, and read more about the patient care or disease topics that came up through the day. Other evenings, I read for fun on my patio, go to my church group, have dinner with friends, or watch some internet TV. I try to get to bed by 10:30-11:00 pm.

 

Resident on Medicine (on Wards)

peter-cote

Peter Cote, MD
PGY-4, Medical College of Wisconsin

6:15am: I try to get up around 6:15 so I have time to eat breakfast. While I’m eating, I like to read something for 5 minutes or so, like the news on my phone or a book I’m reading for fun.

7:00am: This is the time I typically arrive at work. I check in with the interns to make sure everything went okay overnight and that they aren’t concerned about any of their patients.

7:00am-8:30am: I usually look up every patient, starting with the sickest. I’ll focus on vitals, labs, overnight events, and make sure to follow-up any consult notes from the previous day. As soon as I’m done chart reviewing, I go and see a portion of the patients on the list. I’ll see the sick patients, the patients that I have with my sub-intern, and then I’ll try to see any discharges we have for the day. Just prior to rounds I’ll touch base with the interns to make sure we have a good plan for each patient. 

8:30am-11am: Rounds. We usually discuss the patients in our work-room and then we will go see the patients as a team. I like to let the medical students or the interns give the patients updates on rounds so they can get practice communicating with patients/families. Every two out of five days is an admitting day. If it’s a daytime admitting day, you can get five admits (from 7am-5pm) and if it’s an overnight admitting day, you can get eight admits (from 8am-2am). If we have started to get admits, we will generally start working on them about this time.

11am-12pm: We’ll get back to the team room and run through the to-do list for each patient. I’ll often help place orders and call consults.

12pm-1pm: Noon conference. I’ll either bring a lunch or get some food from the cafeteria (with my meal card!) and then go to noon conference. It’s usually a case presented by one of our co-residents with a teaching topic at the end. This is one of my favorite parts of the day.

1pm-4pm: If it’s an admitting day, we will be working on new admits as a team. Looking them up, examining them, and then talking through the plan. I really like to teach while working, so as we are looking up the new admission, I’ll talk with the medical students about their differential diagnosis and what else we should be considering. If it’s a non-admitting day, we make sure to follow-up on any consulting team’s recommendations, finish any work that needs to be done from the morning, and make sure to update the patients again about any updates in the plan.

4pm: Overnight admitting days are every 5th day. If we are the overnight team, myself and one of my interns will take sign-out from the other resident teams. If we are not on overnight, we get to go home!

5pm-2am: From this time period, I’ll be providing cross-coverage for two other medicine teams as well as working on new admissions with my intern. If I’m not on call, I’ll either be going out to dinner, hanging out at a friend’s house, or relaxing at home!

2am-6am: I’ll review the orders on our admits and make sure everything is ready for the morning. I’ll also lie down to sleep and hopefully get 2-3 hours.

6am-10am: Post-call rounds and then go home!

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.

  • 298 beds, 72 ICU beds, 69 NICU beds
  • Level 1 trauma center
  • 26,400+ annual admissions. 71,400+ annual ER visits.
  • Children’s ranked in 9 specialties included in U.S. News & World Report’s 2018-2019 Best Children’s Hospital report
  • Named a Level 1 Children’s Surgery Center by the American College of Surgeons

Froedtert Hospital

Froedtert & the Medical College of Wisconsin Froedtert Hospital, the primary adult teaching affiliate for the Medical College of Wisconsin, is a 604-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 Versiti Blood Center of Wisconsin, Children’s Hospital of Wisconsin, Curative Care Network, the Medical College of Wisconsin, and the Milwaukee County Behavioral Health Division.

  • In 2018, for the fourth 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 three specialties: 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"
  • 31,234 admissions in 2018
  • 72,465 ED visits in 2018
  • 854,882 outpatient visits in 2018
  • Nearly 3,000 births in 2018

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

Ascension St. Joseph's Campus
Ascension 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 197 staffed bed hospital in the heart of Milwaukee.

  • Primary community teaching hospital
  • 17,653 ED visits in 2018
  • Approximately 75,000 ER visits each year
  • 70 impatient beds
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 200 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 (2 dedicated month-long Outpatient Med-Peds rotations, 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 Edgerton Clinic
The Edgerton Clinic is staffed by the Internal Medicine-Pediatrics physicians, Drs. Dominski, Brueggeman and Girolami. 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 Clinics
Ascension Germantown, Mayfair and Grafton Clinics provide an array of services and specialties in addition to Med-Peds trained physicians. These Ascension Clinics are staffed by Dr. Dirk Steinert, and our own graduates, Drs. Burrows, Momper, Reinbold, and Weber.

Froedtert and the Medical College of Wisconsin Clinics
Calhoun Health Center
Located west of Milwaukee, the Calhoun Health Center has primary care services as well as specialty care in Radiology & Imaging, Women’s Health and Diagnostic Services. Med-Peds residents staff with Internal Medicine-Pediatric physician and program graduate Dr. Carla Meister.

McKinley Health Center
McKinley Health Center is located in the heart of Downtown Milwaukee. In addition to primary care, the Sports Science Center (a partnership with the Milwaukee Bucks) is housed here. Med-Peds residents staff the program with program graduate Dr. Adam King.

Moorland Reserve Health Center
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 near northwest 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 west of Milwaukee, Springdale Health Center  Med-Peds, Ob-Gyn, and Internal Medicine physicians. Med-Peds residents staff with Internal Medicine-Pediatric Physicians, Drs. Cada, Obermyer and Fitzgerald.

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 and Internal Medicine are all represented at this site. Tosa Health Center also houses an Urgent Care 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 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 physician and program graduate Dr. Ewing Haas.

Oak Creek Pediatrics
Oak Creek Pediatrics is located 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 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.

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.

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.

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.

2019-20 Med-Peds Global Health Training Track Representatives:

Angelica Willis, MD-PGY2
Krista Tuomela, MD-PGY3
Peter Cote, MD-PGY4
Sona Cote, MD-PGY4
Ben Lipanot, MD-PGY4
Andrew Rose, MD-PGY4

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“During my 3rd year of residency I had the opportunity to participate in a global health rotation in Nepal. I have always had a passion for global and undeserved care and this seemed like a perfect opportunity to further investigate that passion. My healthcare experience took place at an academic hospital in Patan, near the capital city of Kathmandu. The medical exposure that I received was incredible. Cases ranged from primary tuberculosis arthritis to salmonella meningitis; two things that I certainly have never seen in the US. While the cases were interesting the way that the Nepali physicians cared for their patients was also a great learning experiences. They demonstrated the value of a good physical exam, the importance of a thorough history and the skill of working in a resource limited environment. They were kind to their patients and educated families. While the medicine exposure was certainly valuable the culture exposure was also eye-opening and formative for me. The people of Nepal are incredibly generous, warm and welcoming. They are quick to invite you to lunch and learn about who you are as a person. Despite a large portion of the population living on very little you always sensed cooperation, and a desire to care for one another. Overall my rotation in Nepal provided me with an opportunity to learn about medicine, learn about people and culture and learn about myself. I feel very fortunate that I was able to participate in such an experience and I know that I will be a better physician because of it.” –Andrew C. Rose, MD (PGY4)

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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 1/3 of our residents practice primary care Med Peds, another 1/3 go into hospital medicine and the last 1/3 of our graduates pursue further subspecialty training. 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."

2019
Elizabeth Partain, MD, Med Peds Urgent Care, Milwaukee, WI
Brad Johnson, MD, Adult Cardiology Fellowship, Medical College of WI
Besma Jaber, MD, Combined Adult and Pediatric Critical Care Fellowship, Medical College of WI/Childrens’ Hospital of WI
Cameron Malone, MD, Hospitalist, Milwaukee, WI
Katie Berlin, DO, Chief Resident for Patient Safety and Quality Improvement, Medical College of WI
Lindsay Hang, MD, Med-Peds Chief Resident

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, Pediatric Endocrinology Fellowship, UCSF

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, Clinical Assistant Professor, Hospital Medicine, University of Wisconsin-Madison
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 Co-Director of Peds Global Health

2015
Brittany Bettendorf, MD, Medicine Rheumatology Fellowship, Medical College of Wisconsin, Clinical Assistant Professor, Rheumatology, University of Iowa
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, Allergy and Clinical Immunology, Cleveland Clinic
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, and Assistant Professor, Gastroenterology, Loyola University Medical Center
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, and Assistant Professor Cardiology, Children's Hospital 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, Nebraska Medicine Fontenelle Clinic, University of Nebraska Medical Center
Ben Mikeworth, MD, Med-Peds Primary Care, Pontiac, IL

Social Life as a Med-Peds Resident

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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.

Med-Peds Annual Brewer’s Tailgate and Game
As part of our orientation for our incoming interns, we meet and get to know one another at our annual Brewer’s Tailgate and game.

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

Resident Spouse/Significant Other Association
Underrepresented in Medicine
Visit our Underrepresented in Medicine page for more information.
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, 2019 for the upcoming Match.

Benefits, Conditions and Terms of Employment

Frequently Asked Questions

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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, numerous 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, on some rotations. Some rotations follow a call-based system.
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.