University of Maryland Dahiliye/Acil Asistanlık Eğitim Programı

Internal Medicine Residency
Internal Medicine - Emergency Medicine

A five-year training program in Internal Medicine and Emergency Medicine was approved in 1995 with the first residents recruited for July 1996. Through the integrated curriculum, residents are prepared for clinical practice or academic careers in internal medicine and emergency medicine and achieve certification in both specialties. They learn the evaluation and management of patients with a broad spectrum of issues from preventive medicine to emergency care to chronic illnesses. This program has been very successful and continues to recruit superior candidates.

The curriculum of the combined training program is firmly grounded in the established training programs in Internal Medicine and Emergency Medicine. Review of the web sites for the individual programs will give you details about the teaching sites, faculty, curriculum and rotations. The curriculum for the combined program is divided into four 3-month blocks each year, alternating between both specialties.

Residents spend the majority of their time at University Center which comprises the University of Maryland Medical Center, the VA Medical Center, the Shock Trauma Center and the Cancer Center. The major outpatient rotations are located within University Center and at nearby ambulatory clinics. Residents also spend time at Mercy Medical Center, a nearby community hospital, and in offices of private practitioners and at HMO's.

Since the Department of Medicine and the Department of Emergency Medicine are both part of the University of Maryland Medical Center, numerous academic and clinical activities are held conjointly or within the same institution. Not only can residents attend required conferences while on each block, but can easily attend conferences of interest in either discipline regardless of their current clinical assignment. Similarly, several rotations bridge the gap between internal medicine and emergency medicine with residents from both disciplines rotating together for this experience.

Residents receive progressive responsibility for patient care and become the team leader during their second year with major responsibility for supervising interns, subinterns and junior students.

Residents attend one-half day of continuity medical clinic throughout the five years of training when they are assigned to the internal medicine services. Since there are two residents in each year of the program, they share in the coverage of their continuity medical clinic patients, with one of the two residents always having a continuity clinic each week.
More information is available on this combined track on the Department of Emergency Medicine's web site.

The Internal Medicine Curriculum (30 months)

20.0 months on inpatient units:
13 months of general medicine and subspecialty units
4 months of intensive care units (2 MICU/ 2 CCS/PCS)
2.5 months as Night Float, Day Float or MAO
0.5 months as Night Acting Chief Resident
7.5 months in the outpatient area:
4 months in Ambulatory Block Rotations, including geriatrics
3.5 months in dermatology, endocrinology, and rheumatology (or other outpatient elective)
0.5 month of neurology elective
2.0 months of electives
1/2 day weekly continuity medical clinic during Medicine blocks

The Emergency Medicine Curriculum (30 months)

20 months in the Emergency Department
16 months of Adult ED (includes Peds ED Yr 4+5)
4 months in the Peds ED
4 months in the Shock Trauma Center (MIEMSS)
1 month of trauma anesthesiology
1 month of pediatric ICU
1 month of obstetrics-gynecology
1 month of ultrasound/toxicology/emergency management systems
2 months of elective
Five Year Curriculum in Internal Medicine-Emergency Medicine

Year 1
Year 2
Year 3
Year 4
Year 5
Internal Medicine Rotations
3 IP wards
1 MICU
1 CCS
0.5 NF/DF
1 Elective 1 ABR
3 IP wards
1.5 NF/DF/MAO
0.5 Neuro 1 ABR
2 IP wards
1 MICU
0.5 NACR
0.5 NF/DF
1 Derm
1 ABR
2 IP wards
1 CCS/PCS
0.5 NF/DF
1 Endocrine
0.5 Geriatrics 1 ABR
3 IP wards
1 Rheum
1 Elective
Emergency Medicine Rotations
3 ED
1 PED
1 Trauma
1 Ob 3 ED
1 CNMC
1 Trauma
1 Tr Anes 4 ED
1 PED
1 Trauma 3 ED/PED
1 CNMC
1 Trauma
1 Elective 3 ED/PED
1 PICU
1 US/Tox/EMS
1 Elective
ABR - Ambulatory Block Rotation
Anesth - Anesthesiology
CCS - Complex Cardiology Serivce - CCU
CNMC - ED at Children's National Medical Center, Washington, DC
DF - Day Float
ED - Emergency Department (adult)
EMS - Emergency Management Systems
GIM - General internal medicine
IP wards- Inpatient services, including GIM, ID, oncology (Yrs 2+4), subspecialty teams
Med Con - Medical Consultant at University (Yr 5) and Mercy Medical Center (Yr 2)
MICU - Medical intensive care unit
NACR - Night Acting Chief Resident
NF - Night Float
PCS - Progressice Cardiology Service
PED - Pediatric Emergency Department
PICU - Pediatric Intensive Care Unit
Tox/Adm - Toxicology/Administration
Tr Anes - Trauma anesthesiology
Trauma - at Shock Trauma Center
US - Ultrasound

EMIM-Critical Care Track

Residents in the EMIM residency program have the option of training in critical care medicine through an integrated curriculum during the 5th year and an additional 6th year of training. For details on this curriculum, please click on EMIM Critical Care Option.

Application Process for IM-EM Program

All applicants must submit their applications through ERAS and include a CV, personal statement, Dean's letter, transcript, 3-4 letters of recommendation (including a letter from the chair of each specialty), USMLE Step 1 and 2 scores and a photograph.

If you are applying for IMEM plus:

Categorical IM or categorical EM, submit separate ERAS applications for categorical IM and categorical EM.
For IM, please see Application Process for Internal Medicine.
For EM, please see the Emergency Medicine web site.
Applicants are granted interviews on two separate days - one with Internal Medicine and one with Emergency Medicine - from early November through the end of January. Interviews for IM are on Tuesdays and Thursdays and interviews for EM are on Tuesdays and Wednesdays.

The combined residency program is directed by Dr. Michael Winters, M.D., a recent graduate of the combined program. Dr. Winters is a full-time faculty member with appointments in both the Department of Emergency Medicine and the Department of Medicine. Dr. Susan D. Wolfsthal, M.D., Residency Program Director for Internal Medicine, and Dr. Amal Mattu, M.D., Program Director for the Emergency Medicine Residency, provide oversight for the IMEM Training Program.