Frequently Asked Questions

These are frequently asked questions about our training program.  If you have other questions, please contact us at 410-328-2388, option #1.  Thank you for your interest.

Q: What do your residents do after completing residency training?


In the past 5 years, we graduated nearly 200 residents in our categorical, Med-Peds and EMIM tracks. Of these residents, 60-70% are doing fellowships, 20% have chosen careers in primary care, and 10-20% have secured positions as hospitalists. These numbers are fairly consistent since 2002. Of those entering primary care or hospital medicine, many stay in the Baltimore area with many hospitalists staying at the University of Maryland. Some return home and set up a practice in other parts of the country, such as Virginia, Florida, Michigan, Massachusetts, and Pennsylvania - to name a few.

Q: How successful are your residents at securing fellowship positions?


Our residents have been VERY successful in their pursuit of subspecialty training, securing positions at some of the best fellowship programs in the country. You can find a list of where each graduating class matched on our Our Residents page.  The following data is from our 2007-2015 graduates. The next fellowship Match will take place in December.

  • Allergy-Immunology: Stanford, Hopkins
  • Cardiology: Maryland, Hopkins, Colorado, UNC, Jefferson, BCH/Harvard, VCU, Pittsburgh, U Washington, Georgetown, GW, Penn State, Ochsner
  • Critical Care: Maryland , NIH, Stanford2014-End of year breakfast
  • Endocrinology: Maryland, Hopkins, NIH, U Chicago, UNC, U Virginia
  • Gastroenterology:  Maryland, NIH, Yale, U Miami, U Cincinnati, Penn State, MUSC, Loyola
  • General Internal Medicine - academic: Maryland, Hopkins
  • Geriatrics:  Hopkins
  • Hematology-Oncology:  Maryland, Duke, Hopkins, Columbia, MD Anderson, Moffitt, Pittsburgh, Northwestern, UT-Southwestern, Einstein
  • Infectious Diseases:  Maryland, Baylor, Cleveland Clinic, Hopkins, NIH, UCSD, Washington Univ, Mt. Sinai, GW, VCU, Rush, U Minnesota
  • Nephrology:  Maryland, Tufts, UC-San Diego
  • Pulmonary-Critical Care:  Maryland, Columbia, Hopkins, Harvard Brigham & Women’s, Pittsburgh, U Virginia, NIH, Jefferson, UCSD, UCLA, Oregon Health Sciences Univ
  • Rheumatology: Maryland, Duke, Hopkins, Pittsburgh, UCLA

Q: What is the diversity of your residents and where did they go for medical school?

A: We are very proud that our residents come from a variety of backgrounds and schools. The current first year class represents numerous medical schools from the mid-Atlantic, northeast, southeast, southwest and mid-west. Occasionally, we have residents from the Pacific Northwest and California. Approximately 25-30% of each class has graduates from the University of Maryland School of Medicine with 55% percent women. Ten percent of our residents are African-American, 30% are Asian-Pacific Islander and 5% are Hispanic.

Q: How many residents do you have in each track and year of training?


For 2016-2017, we have 155 residents in the Department of Medicine plus 5 full-time chief residents who have already completed their residency training - 2 University/VA chiefs, a primary care chief resident, a chief resident specializing in patient safety and quality improvement, and a chief resident at Mercy Medical Center. We also have a chief resident in their final year of training in Med-Peds and EMIM. There are 95 categorical (including 4 International Scholars), 16 Med-Peds, and 10 EMIM residents, plus 34 preliminary interns (16 at University, 18 at Mercy Medical Center). The following chart shows the number of residents in each year of the training program by track. In addition, we have 9 preliminary interns who are part of the anesthesiology program at the University of Maryland.

Categorical Medicine
International Scholars (categorical) 2 2 - - 4
International Scholars (preliminary) 2 - - - - 2
Preliminary, including 6 Prelim-Neuro
Preliminary (Mercy Medical Center)

Q: Do you have pathways for residents with different interests?


We are implementing 4 Career Pathways at Maryland -- Fellowship, Hospital Medicine, Primary Care and Global Health. Each has a team of faculty mentors who lead the group in further curriculum development, seminars, workshops, elective choices and career counseling.  For those interested in a subspecialty fellowship, you are mentored through several consult and research electives to enhance your exposure to these areas and build your CV as you apply for a fellowship position. Residents interested in either primary care or hospital medicine take electives specific to these areas. For example, residents who will enter primary care take electives in rheumatology, orthopedics, dermatology, endocrinology, women's health and ENT, among other. Residents who will become hospitalists take electives in critical care procedures, a variety of inpatient subspecialties, medical consultation service, and our hospitalist elective.  In the latter pathway, residents receive additional training in patient safety and quality improvement -- a valuable skill for the practice of hospitalist medicine. Residents interested in international medicine and infectious diseases have a special group of faculty mentors with extensive experience in these fields.  Through the Institute for Human Virology and the Center for Vaccine Development, residents can engage in research and clinical electives both on our campus and at international sites.  Our intensive academic mentoring program pairs each resident is paired with a faculty member with similar interests who helps the resident choose the appropriate curricular elements and research or QI projects to ensure their success.  Residents have a great deal of flexibility to either take only the components within a pathway or broaden their exposure by choosing elements from any of the tracks.

We also have an ABIM Research Pathway for those interested in a career as a physician scientist. You can find more information about this track at ABIM Research Pathway.

Q: What recent changes have you made to the curriculum?

A: Several exciting curricular items were implemented in the last few years -- including extensive simulations, ultrasound curriculum, evidence based medicine curriculum during Journal Club, a core curriculum in internal medicine, a weekly board review course and an ambulatory core conference. In September 2012, we reconfigured our CCU/telemetry service (PCS - Primary Cardiology Service) at UMMC to focus the residents' clinical experience in cardiology, including ischemia heart disease, MI's and arrhythmias. We established a new Advanced Heart Failure Service in September 2012. Second year residents rotate on this service for 2 weeks and work alongside fellows and nurse practitioners in the care of these complex patients with CHF, pulmonary hypertension, and transplant needs. This structure has greatly improved continuity of patient care and enhanced resident efficiency. We have several distance learning modules, which are web-based tutorials in key topics in internal medicine, including Diabetes Management, Palliative Medicine and End-of-Life Care, and insertion of central venous catheters. Residents work through these modules at their own pace, reading the material and answering questions. Finally, in July 2012 we implemented a novel curriculum in Patient Safety and Quality Improvement under the direction of our hospitalists and PSQI chief resident. This curriculum is integrated in many conferences, including M&M, and in numerous clinical activities, such as practice based learning exercises.  We are implementing an Intern Retreat this year to provide interns with targeted learning sessions and an evening out with their classmates.  A new rotation in Academic GIM was started this year for the interns.  This 2 week block includes concentrated time in their continuity clinic plus sessions in professionalism, QI, literature in medicine, ultrasound training, simulation and wellness. 

Q: Anything else new in the program?

A: 2006 Weinberg Opening We started a new rotation for interns called Academic GIM. During this 2-week block that is held early in the year, interns immerse themselves in their continuity medical clinic every afternoon and thus jump start their ambulatory skills.  In the morning, they attend conferences, learn ultrasound guided procedures, do ACLS simulations, learn the basics of quality improvement, engage in interprofessional activities with nurses in the MICU and Cancer Center, engage in service learning at a community shelter, and relax with classmates in Literature in Medicine.  This new rotation has been a huge success with the interns.  In addition, we held our first Intern Retreat where interns boosted their skills in hand-offs, efficiency and other areas.  The retreat was capped off with a dinner at a local restaurant to they could enjoy some time with each other.  We have an enhanced academic mentoring and research system to allow residents to develop their research skills and secure the best fellowship positions. We hold a Research Forum where residents present their ongoing research and upcoming abstracts. Faculty mentors join in the discussion, making this an incredibly well-received conference.  We post the audio and slides for all of our conferences on line, making them easily accessible to residents for review.  Check out our spectacular web site using Username = UMMC, password = applicant. We also update a compendium of landmark articles for our residents that are distributed on flash drives for their use.  All these methods allow our residents to do distance learning at their own pace. 

Q: What is your wellness program for residents?


The wellbeing of our residents is very important to us.  We have a beautiful new resident lounge that has comfortable furniture, computers and a big screen TV. Ensuring a balance between work and personal life, and coping with the inevitable stress that comes with caring for patients is addressed in a variety of ways.  We have partnered with the Center for Integrative Medicine to have a monthly series on wellness topics, such as nutrition, stress management, exercise, meditation, chair yoga and fatigue management. The visiting service dogs were a huge favorite.  To help residents find time for doctor's appointments, errands and other personal issues, we provide them with four personal 1/2-days off (in addition to regularly scheduled days off and vacation time). UMMC has developed a special program called RISE - Resilience in Stressful Events - to help teams and individual residents cope with adverse patient events as the "second victim." 

The chief residents work very hard to accommodate our residents' requests for days off so they can attend special events in their lives.   The chiefs make themselves totally available and their office door is always open.  They purchased a Keurig so that residents can stop by in the afternoons to chat while having coffee or tea.  The Week in Review gives residents a Friday wrap up of what's happening in the program -- both academically and socially. 

A Wellness Committee schedules a variety of events for the residents, including service and volunteer activities in the community, baseball games (Go O's!), happy hours and recreational sports. The GME Office orchestrates events through the House Staff Association with four big events throughout the year. The highlight of the year is the annual Valentine's Day Ball at the B&O Museum. 

Q: Do you have a mentoring program to help residents achieve their goals?


Our mentoring program is comprehensive and very successful. Interns meet with one of the directors to review their career goals and interests and then are paired with one or more faculty members with similar interests and who take a strong interest in our residents' well-being. The director checks in frequently with the faculty-resident pair to ensure that the resident's needs are being met. The mentoring program has been very successful. Residents entering fellowships are able to start a research project early in their training, present at our Maryland ACP meeting, and develop a robust CV to ensure a successful fellowship match. Residents interested in hospital medicine are paired with one or more of academic hospitalists. These residents can become involved in various ongoing projects in quality improvement and safety, or strengthen their skills in inpatient practice. Lastly, residents who are destined for a career in primary care are paired with one of our academic generalists with whom they develop the appropriate electives and curriculum to meet their needs. We have many, many connections with practices in the community, which are invaluable in helping our residents secure a primary care position at the end of their training. All residents are strongly encouraged to present their research or a clinical vignette at our annual Maryland ACP meeting -- a highlight of the spring. Our residents present over 40 research abstracts and clinical vignettes at the annual meeting. The Department of Medicine provides $750 in support for residents who present their work at national meetings.

Q: Do you have dedicated inpatient and continuity clinic time?


Interns jump start their continuity medical clinic during their 2-week Academic GIM block early in their internship.  We then cluster residents' inpatient rotations and continuity clinics such that they have no continuity clinics during busy rotations (e.g., MICU, CCU, Cancer Center, night float, ER, etc.) and have most of their clinic sessions during ambulatory blocks and electives.  This structure permits residents to focus on their primary clinical responsibilities and have a positive ambulatory experience.  In the fall of 2014, the residents voted to maintain our current scheduling of clinics rather than switching to a 6+2 model.  Hence, they are able to maintain their elective time for research and international rotations, and have the flexibility they enjoy for fellowship interviews, vacations and maternity/paternity leave.  We are actively discussing implementing a 6+2 system for July 2017.  More to follow...

Q: How many electives and call-free months do I get as a first year resident? How about vacation time?

A: Interns have 5-6 blocks without call.  The non-call blocks for categorical interns include 2 electives, 1/2 Academic GIM, 1/2 month of ER, 1 month of ambulatory (episodic care), and 1-1.5 months of Night Float. The non-call blocks for preliminary interns include 3 electives, 2 Night Float months, and 1/2 month of VA episodic care. Bo and Girls retreat photo

Interns have 4 weeks off, taking 3 weeks of vacation during the academic year (one 2-week block and 1 week during an elective of their choosing).  Since interns start a week early on June 24th each year, they end their internship a week early on June 23rd and have their 4th week of vacation at the end of June. The paid 4th week of vacation at the end of June is only applicable for residents continuing their training at Maryland. 

Upper level residents have 4 weeks of paid vacation per year with one 2-week vacation block and two 1-week vacations taken during elective time.

Q: Do you have a night and day float system?

A: We have the both night and day floats at University Hospital and the VA. The night float team comes on duty at 9 pm 7 nights per week, takes all admissions and does all cross coverage for the medical teams. Interns and residents do 5-6 night float shifts in a row.  Interns on-call take their last admission at 6 pm and can leave the hospital around 9-10 pm. Thus, interns and residents on floor teams do not have overnight call. The Night Team presents their admissions to the team attending the following morning - thus ensuring continuity of care, accountability and educational feedback for their work. Both the University and VA Night Night teams are essential components of the residency program allowing our residents to be more rested, stay under the 80-hour workweek cap and attend more conferences. The day float resident starts their responsibilities at 12 PM and stays through 11 PM, assisting the post-call team, long-call team and ICU's as needed. Again, the institutional support for these positions has been outstanding across the board.

Q: What kind of call system do you have?


Call is every 4th night on all services and in all hospitals.  We have team call on all general medicine services at UMMC and the VA. These teams are covered by a University or VA Night Team so that residents may leave at 9-10 PM on their days on call. On the ICU's at University and the VA and in the Cancer Center, upper level residents take q4 over-night call and leave within 28 hours. 

We are participating in the iCOMPARE trial - a national trial to assess how resident work hours impact resident satisfaction and patient outcomes. Starting in July 2015, interns are taking q4 overnight call in the MICU and CCU at UMMC only. We have seen a positive impact on patient continuity and resident satisfaction. For all other services, interns do not take overnight call.  We are awaiting word from the ACGME as to what the call system will be in July 2017.  

At Mercy Medical Center, the residents take q4 call until 9 PM on weekdays and stay overnight on one Friday and Saturday per rotation. 

Q: How many chief residents do you have and what are their responsibilities?


We have 7 chief residents at the University of Maryland. Five of the chiefs have completed their training in internal medicine and are board eligible/certified and include 2 University-VA Chief Residents, a Primary Care Resident, a chief resident in Patient Safety and Quality Improvement, and the Mercy Chief Resident. We have 2 chief residents in their final year of training in the Med-Peds and EMIM programs. 

  • The University-VA Chief Residents are responsible for all the educational activities for the residents at the two hospitals, including Morning Report, CPC, M&M, Ethics Seminars and other teaching conferences. They create all the monthly and on-call schedules in accordance with the curricular requirements of the program. They attend on the inpatient units and in the continuity medical clinics. Our chiefs are wonderfully creative and have an enormous amount of enthusiasm for teaching. They have a huge impact on the program, interacting with the residents on a daily basis, and are the primary advocates and support for the residents. 
  • Our Primary Care Chief Resident is responsible for all the outpatient conferences and core curriculum in primary care, coordinates the continuity clinic schedules and works with the Associate Program Director for Ambulatory Education on the curriculum in the Ambulatory Blocks. The Ambulatory Care Chief organizes various procedure workshops (skin biopsy and suturing, arthrocentesis and joint injection) and the practice management seminars (finding and interviewing for a job, understanding your contract, malpractice and managed care). This chief also serves as an attending on the inpatient service, medical consultation service and in the residents' continuity clinics. 
  • The Chief Resident in Patient Safety and Quality Improvement oversees a broad system-wide program to enhance resident skills in this area through both conferences and hands-on learning. Principles are reinforced during Morning Report and our M&M Conferences. Residents apply these skills through practice based learning exercises in their continuity clinics and participation required quality improvement projects with their classmates. 
  • The Chief Resident at Mercy Medical Center is responsible for the preliminary interns at Mercy and the University residents and students who rotate at that hospital. The chief coordinates Morning Report, Grand Rounds, M&M, core curriculum and Journal Club, is responsible for the yearly call schedule and ensures that the master curriculum is delivered to all residents rotating at Mercy. The chief also attends on the inpatient service and on all medical consultations at Mercy. 
  • The Med-Peds and EMIM Chief Residents are responsible for helping to coordinate the components of the combined curricula, including weekly conferences for Med-Peds, quarterly conferences for EMIM, rotation schedules and support groups for each program. They also arrange social activities for the combined residents. These chief residents are important advocates for the combined programs, ensuring that the Med-Peds and EMIM residents make smooth transitions between the specialties and have their needs met.

Q: What is your RRC accreditation status?

A: We have a full 11-year ACGME accreditation cycle -- the longest cycle available.

Q: Do you conform to all the RRC regulations regarding admissions, duty hours and working environment? Do you have all the curricular elements required by the RRC?

A: ACP Resident By being fully accredited, we abide by all RRC regulations for curricular content and duty hours, including the new rules that went into effect in July 2011. We enforce a strict 5 admission cap for first year residents, have a night and day float system, ensure adequate sleep and rest while on call, among many others. We have implemented an extensive night team and cross coverage system to ensure that all residents work less than 80 hours/week on average over the month, have 4 full days off each month, and have 8-10 hours off between duty shifts. We reduced our shifts to 28 hours (24+4) in 2009 -- a full 18 months ahead of the ACGME's new changes for July 2011. Interns are limited to 16 hours of clinical duty and do not have overnight call. A full night float team and day floats ensure that we are fully compliant. Interns take their last admission at 6 PM when on long call and at 6 AM while on night float.  We use a "drip method" for the last two hours to ensure that interns have enough time to complete their work during their shift.  We have numerous opportunities for moonlighting which also helps the teams meet their clinical responsibilities. We track work hours monthly to ensure we are 100% compliant. In addition, we ensure that all teams do not exceed their caps for individual and team patient census. Our written curriculum is competency-based, comprehensive and encompasses all elements required by the RRC. We implemented the ABIM Milestones as the foundation of our evaluation process in July 2013.  This allows our residents to track their skills as they progress through their training. In addition, we have added several curricular items targeted at areas that we feel are important, such as an extensive simulation program, international electives, palliative medicine, evidence based medicine and research design and methodology.

We are participating in the iCOMPARE trial - a national trial to assess how resident work hours impact resident satisfaction and patient outcomes.  Starting in July 2015, interns and residents take q4 overnight call in the MICU and CCU at UMMC only.  We are already seeing a positive impact on patient continuity and resident satisfaction.  For all other services, interns do not take overnight call.  We are awaiting word from the ACGME as to the work hour rules for July 2017.

Q: How do I apply to your residency program?


Full details on how to apply to our various programs are available on the Application Process page. We accept only ERAS applications for all tracks. 

Q: How many residents do you plan to recruit?

A: We are recruiting a similar number of residents as we have done in the past, including 30 categorical internal medicine, 4 Med-Peds, 2 EMIM, and approximately 13-15 preliminary internal medicine interns (which include 6 prelim-neurology interns).

Q: How will I hear about whether I have been granted an interview?

A: You will receive all correspondence from our program via email. Once your ERAS application and supporting documents have been reviewed, you will either be granted an interview or your application will be placed on hold for a second review in 2-3 weeks. Once you have been granted an interview, you will receive an invitation via email with instructions to select an interview date. Information regarding the day's activities, hotel accommodations, directions and other items will be provided once your interview is confirmed or can be viewed at Interview, Travel and Hotel Information.

Q: How can I find out the status of my application?

A: Please call us at 410-328-2388, options #1, for any information about your application.

Q: When is the best time to interview at the University of Maryland?

A: Photo of Residents doing CCU rounds

Any time is a good time for an interview. Applicants are given the same consideration for ranking whether they interview early or late in the recruitment season.

Q: What if I want to come back for a second look? Should I send a thank you note after my visit?

A: Applicants are welcome to visit us again if the visit will help you with your final decision.  Please note that coming for a second look does not affect our rank list.  The interview season is a very busy time for you.  You do not need to send a thank you note after your interview.  We encourage you only to correspond when you have a specific question about our program or another concern.  We adhere to the Guidelines for Post-Interview Communication and Second Looks from the Alliance of Academic Internal Medicine (AAIM). 

Q: I am an applicant for the preliminary program in internal medicine. What are the differences between a preliminary and categorical internship?

A: The preliminary intern curriculum is nearly identical to the categorical medicine year except they are more elective time and less ambulatory time. Preliminary residents have 3 months elective and only 1/2 month ambulatory (urgent care), and do not have an ER block (compared to 2.5 / 1.0 / 0.5 for the categoricals for these blocks). The 9 inpatient blocks for preliminary interns consist of 7 inpatient services (including 2-3 ICU months) and 2 months of Day/Night Float. Preliminary interns staying at Maryland for their advanced residency training have a 4th week of paid vacation at the end of June. Preliminary residents do not attend a weekly continuity medical clinic unless they plan to continue in internal medicine.

Q: Do you give special consideration for those in the couples match or who a special connection to Baltimore?

A: Please indicate on your ERAS application or let us know in writing that you are in the couples match, even if your significant other is applying to a field outside of medicine. We are very interested in recruiting qualified couples to the University of Maryland and are highly supportive of family life in our program. We are also interested in knowing if you have special ties to the Baltimore area.

Q: What physical changes have you made?


We have a brand new Resident Lounge where residents can relax, work on the computer or watch our wide screen TV.  The Department has renovated the call rooms, making the facilities attractive, quiet and safe, and have attractive space for our daily conferences. In addition to our Departmental changes, there have been absolutely spectacular physical changes at UMMC, including the Weinberg Building with our 29-bed MICU. The outpatient center of the Greenebaum Cancer Center provides state-of-the-art NCI comprehensive cancer care for ambulatory patients. An Intermediate Care Unit (IMC) opened in 2009 and is non-teaching service staffed by hospitalists. A new critical care tower that is part of Shock Trauma opened in 2013.

Q: What benefits do residents receive and what is the current salary?

A: In addition to routine health benefits, residents receive free parking, dinner and breakfast while on call, annual $100 book allowances and a $750 educational stipend in the senior year. If residents' research is accepted for presentation at a national meeting, residents receive $750 to support their trip.  For those electing international rotations, the Emily Fairchild Endowment provides funds to assist with travel costs.  For the current salary and additional information, please see Salary and Benefits.

Q: What library facilities are available to the residents?

A: The Health Sciences Library is a modern state-of-the-art facility with over 2300 journals. Through the use of Up-to-Date, Ovid and Medline, residents have access to pertinent literature through enhanced searching capabilities in an evidence based medicine format. Access is available from any computer on campus.

Q: What recreational facilities are nearby for residents?


Our Campus Center is located right across the street from the hospital.  There you will find cafes with healthy food options, lounges and conference space. A full service gym with group classes, cardio equipment, Pilates, weight equipment, and pool is open to our residents for a reasonable monthly fee.