Where do the residents live?
Our residents live in a variety of places in the Baltimore area. About half live in the city itself. Baltimore is home to many diverse neighborhoods, each with its own identity and character. Many of these neighborhoods are popular among the city's young professionals and offer affordable housing for rent or purchase. Those residents who choose to live outside of the city limits settle in one of the nearby suburbs like Columbia, Ellicott City or Owings Mills. Several suburbs are conveniently located halfway between Baltimore and Washington DC for those Maryland residents with significant others working in DC.
Where do our residents see clinic patients? Is there a combined Med-Peds clinic?
Our primary clinic sites are the University Health Center for internal medicine and the Pediatrics At The Harbor. Both are located in close proximity to the main campus in downtown Baltimore. Residents alternate weekly between the two sites. Maintaining two separate patient panels allows our residents to care for an equal number of adult and pediatric patients. Beginning in the second year, residents are assigned to an additional community Med-Peds practitioner located outside the city. During this experience they carry a combined patient panel as well as learn some of the ins and outs of practice management. Residents attend combined clinics one afternoon per week during electives, pediatric ED rotations and outpatient rotations.
Are there med-peds specific conferences?
Yes. Starting in 2009, the med-peds program expanded its conference schedule to weekly conferences that include a Med-Peds lecture series led by leaders in such fields as infectious disease, travel medicine, cardiology, hematology and many others. In addition, the Maryland Med-Peds program has a dedicated Med-Peds Journal Club, a Med-Peds specific board review and a dedicated Med-Peds group quality improvement project.
Are there opportunities for international medicine?
Yes. Many faculty members at UMMS are involved with providing care and performing research overseas and welcome residents to join them for electives. Some recent resident experiences included clinical opportunities in Latin America, Africa, Haiti and South Asia. Funding to support international electives is available through the Medicine and Pediatrics departments. Starting in 2012, the Med-Peds Residency instituted a Med-Peds Global Health Track. This track was developed in coordination with faculty from the Center for Vaccine Development and the Institute of Human Virology.
What retreats do the med-peds residents attend?
In order to remain fully integrated into the categorical internal medicine and pediatrics programs while maintaining a unique med-peds identity, the med-peds residents attend several annual retreats. All med-peds residents attend both a medicine and a pediatrics retreat during each year of training. In addition, all med-peds residents attend a dedicated med-peds retreat annually.
Do residents rotate outside of University of Maryland Medical Center?
Yes. Residents receive broad clinical experience as they rotate through our three local hospitals. Aside from UMMS, our other clinical sites include Mercy Medical Center and the VA Baltimore Medical Center. Mercy is a private hospital academically affiliated with UMMS and located approximately one mile away in downtown Baltimore. Residents spend 5-6 months at Mercy over the course of their training, typically two months of medicine and three months of pediatrics. The Baltimore VA is the center of the Veterans Administration Health Care system in Maryland. It is connected by bridge to UMMS, and many University faculty members are involved with care and teaching on the VA side.
Are there moonlighting opportunities for residents?
Yes. Moonlighting opportunities are available within the program at both UMMS and Mercy Medical Center. There are currently no moonlighting opportunities for interns, however, and moonlighting outside the system is not permitted.
What careers do residents pursue?
Among our graduates since 1994, 62% have gone on to careers in primary care, 23% have pursued fellowships and subspecialty practice, 13% work as hospitalists and 2% have established careers in an urgent care or emergency room setting.
Is there a free-standing children's hospital?
No. The University of Maryland's Childrens Hospital is not a free-standing structure, but is located within the main hospital on the fifth and sixth floors. The hospital provides tertiary care level services with a state-wide referral base. The Children's Hospital offers a wide variety of pediatric subspecialists including allergy and immunology, behavioral/developmental pediatrics, cardiology, critical care, endocrinology, gastroenterology, genetics, hematology/oncology, immunology, infectious disease, nephrology, neurology, pulmonology and rheumatology. Aside from the inpatient hospital setting, residents rotate through a number of outpatient locations including Pediatrics At The Harbor (PATH), The Adolescent and Young Adult Center and numerous community outreach sites. In addition, residents staff our Pediatric Emergency Department.
How frequently do residents switch between Medicine and Pediatrics?
Residents rotate every three months. Twice during residency (at the start of 2nd and 4th years) they complete a six month block of either medicine or pediatrics rotations. This helps ease the transition from intern to senior responsibilities and ensures seasonal variation of patient pathology.
How long is internship?
Internship lasts twelve months. Residents in Med-Peds serve as senior residents from the beginning of their second year. Services without supervisory responsibilities, such as the adult Cancer Center, are scheduled early in second year to help new seniors transition to their changing roles.
Do the residents get along?
The camaraderie among the residents is palpable and is one of the major strengths of our program. There is a friendly working relationship among residents in all programs here and a distinct solidarity among those in the Med-Peds program. Friendships that are generated in the hospital are fostered at resident-run House Staff Association events as well as countless other informal gatherings outside of the hospital. Some recent examples include happy hours, basketball, soccer, football, dinners out, bowling and participation in the Polar Bear Plunge to benefit Special Olympics during December at a local state park on the Chesapeake Bay.
What is the med-peds identity at UMMC?
The med-peds residents have a unique identity that sets them apart from the categorical pediatric and medicine residents yet they are welcomed as equals when rotating in either discipline. The med-peds residents maintain a strong sense of identity through frequent interaction during rotations, monthly meetings, numerous social outings including a med-peds holiday party, and through close mentorship with med-peds trained physicians. The med-peds identity is growing with recent recruitment of two new med-peds faculty members in 2008 and recruitment of an additional med-peds trained hospitalist in 2011.
Are there a wide variety of cases? Do other major hospitals in the area limit exposure to interesting cases?
Although Baltimore and other nearby cities have a high density of academic medical centers, residents in our program have had no shortage of unique and interesting cases during their training. UMMS serves as a tertiary referral center with a contingent of world-class subspecialists, and we maintain a strong relationship with the surrounding community and referring hospitals.
How many Med-Peds trained faculty have faculty appointments at the University of Maryland?
We currently have close to 20 Med-Peds trained faculty with academic appointments with the University of Maryland. These physicians hold positions in a variety of specialties including Med-Peds primary care, infectious diseases, rheumatology, allergy and immunology, critical care, urgent care and hospitalist medicine. They serve as a backbone for our mentorship program and provide exceptional clinical and research experiences for our residents.
Is research required?
Yes. All Med-Peds residents complete a senior research project for both Medicine and Pediatrics. Internal Medicine projects involve a written manuscript and oral presentation to the residency program on a chosen topic. Many manuscripts have been successfully submitted for publication. Seniors on Pediatrics participate in original research, with the goal of familiarizing the resident with the process of IRB approval, data collection and analysis. Pediatric research projects have been accepted for publication and presentation at national meetings. Med-Peds residents have published in Pediatrics and presented at regional ACP meetings and national meetings like the IDSA.