Program Features

Medicine-Pediatrics Residency Program

Overview

At MedStar Georgetown University Hospital, our Med-Peds trained faculty are accessible and dedicated to resident education and clinical teaching. Our program directors seek resident feedback regularly and work hard to making Georgetown Med-Peds an unbeatable training experience.

Residents benefit from seamless integration into our parent programs, but maintain a unique identity as Med-Peds residents in a smaller, close-knit Med-Peds “family.” Both parent departments have consistently demonstrated support and regard for Med-Peds and our residents, and we feel equally engaged in the academic and social communities of both parent departments.

Overall Program Goals

The goal of the Med‐Peds residency training program at the MedStar Georgetown University Hospital is to produce physicians who have developed the competencies to function as independent internists and pediatricians who care for adults and children of all ages.

Objectives of the Med‐Peds Residency Program

The Med‐Peds residency training program at MedStar Georgetown University Hospital has been designed to enable residents upon completion of the program to be able to:

  1. Apply established and evolving knowledge in the clinical and epidemiological sciences related to medicine and pediatrics as well as related knowledge in the social‐behavioral sciences to their care of child and adolescent patients. (Medical Knowledge)
  2. Provide compassionate, appropriate, and effective patient care by
    1. using data about a patient (history, physical examination, laboratory and imaging studies) along with medical knowledge to create a differential diagnosis, plan for further evaluation, and comprehensively manage patients with a variety of disorders. (Patient Care)
    2. developing a relationship with patients and their families in which health care needs are identified and addressed collaboratively in the context of the patient as a whole person. (Interpersonal and Communication Skills)
  3. Improve the patient care that they provide by continuously assessing their performance, incorporating feedback and pursuing learning related to improvement opportunities. (Practice‐based Learning and Improvement)
  4. Function effectively with the system of health care beyond the clinical encounter to call effectively on additional resources to provide optimal health care for patients with a variety of disorders. (Systems‐based Practice)
  5. Conduct their professional life in accordance with the expectations of the profession of medicine and society, manifested through a commitment to carrying out professional responsibilities, adherence to ethical principles, and sensitivity to patients of diverse backgrounds. (Professionalism)
  6. Pursue career in medicine caring for children and adults as a generalist or a sub‐specialist, and seek to make an impact as a leader in the medical field improving the delivery of health care in a variety of venues including general medicine, subspecialty medicine, population medicine, health policy, biomedical research, or international health medicine.

Curriculum

Rotations by Year

PGY-1

Internal Medicine
Pediatrics
2 months Inpatient General Medicine
1 month Inpatient General Pediatrics
1 month ER
1 month Hematology/Oncology
1 month Medical ICU
1 month Adolescent
1/2 month Night Float and 1/2 month Vacation
1 month NICU
1/2 month CCU and 1/2 month Elective
1/2 month Newborn Nursery and 1/2 month Med-Peds Clinic
 
1/2 month Elective and 1/2 month Vacation

PGY-2

Internal Medicine
Pediatrics
2 months Inpatient General Medicine
1 month NICU
1 month Medical ICU
1 month PICU
2 months Elective
1 month GI/Transplant Service
1/2 month Med-Peds Clinic and 1/2 month Vacation
1 month Inpatient General Pediatrics
 
1 month Cardiology
 
1/2 month Elective and 1/2 month Vacation

PGY-3

Internal Medicine Pediatrics
2 months Inpatient General Medicine 1 month Inpatient General Pediatrics
3 months Med-Peds Clinic (includes Vacation) 1 month Pediatrics Outpatient Clinic
1 month Geriatrics 1 1/2 month Elective and 1/2 month Vacation
  1 month Psychiatry with PICU Call
  1 month ER
  1 month Elective

PGY-4

Internal Medicine Pediatrics
2 months Inpatient General Medicine 3 months Med-Peds Clinic (includes Vacation)
1 month Medical Consultation Service 1 month ER
2 1/2 months Elective 2 months Elective
1/2 month Vacation  

Sample Block Schedule

Continuity Clinic

Residents are provided with strong Ambulatory training in both Internal Medicine and Pediatrics, based on a four-year Med-Peds continuity clinic which is centrally located within the hospital campus and supervised exclusively by Med-Peds trained faculty. Our continuity clinic features a new and fully functioning EMR system which is integrated with Georgetown subspecialty practices allowing efficient coordination of care. The Med-Peds clinic site also functions as a “home away from home” for our residents who look forward to reuniting with peers during their weekly afternoon clinic. Organized daily pre-clinic conferences provide up to date reviews of Med-Peds topics, and monthly lunch meetings feature more in-depth presentations by rotating fourth-year medical students.

In addition to weekly continuity clinic, our program features longitudinal blocks in the continuity clinic. During the PGY 1 and 2 rotation, residents round Monday to Friday mornings in the Well Baby Nursery at Georgetown. They then see predominantly newborn follow up and pediatric urgent care during the morning clinic session. The afternoon sessions are structured as a typical continuity session. One goal during this block is to start to guild residents' pediatric panels.

The third and fourth year blocks include three consecutive months in the Georgetown Med-Peds clinic. Residents also spend time working under the supervision of attending physicians at the Unity Healthcare Clinic, and Premier Primary Care Physicians. The purpose of this is to gain exposure to an urban health clinic as well as a private practice.

Residents on the Med-Peds ambulatory block are expected to perform thorough evaluations of patients in the office, attend conferences and lectures, and complete outside reading and self study. During the rotation, residents are expected to become knowledgeable and proficient in the basics of preventative and general internal medicine and pediatrics, as well as common urgent care issues arising in the office.

The clinic is located in the PHC Building 6th floor and is open from 8:30 am to 5 pm Monday through Friday. Residents are asked to evaluate patients and then present their findings, assessment, and plan to the designated Med-Peds Preceptor. The preceptor then sees the patient to verify exam findings for all intern encounters in the first 6 months of training. Subsequently, faculty may opt not to see certain patients if they concur with the resident’s diagnostic impression and plan of care. Faculty are ALWAYS amenable to seeing any patient when requested by the resident or patient/parent.

Diverse Clinical Training Sites

Our residents care for a truly unique and diverse patient population. Rotations outside of MedStar Georgetown University Hospital include training at the modern Virginia Hospital Center, the Washington DC VA Hospital, Inova Fairfax Hospital, Washington Hospital Center, Shady Grove Hospital and the National Institutes of Health. While our training remains centered at Georgetown, we benefit from training in University, Community, and government hospitals serving patients from a broad spectrum of socioeconomic, ethnic and religious backgrounds. Residents also have the ability to complete rotations at distinguished national research institutions including the NIH and FDA. One feature that unites all of our training sites is their unique dedication to resident and student education.

Lombardi

While at Georgetown University Hospital, residents can rotate through Adult and Pediatric Hematology-Oncology clinics at Georgetown’s Lombardi Cancer Center, a designated Comprehensive Cancer Center.

International Medicine

Many of our residents have traveled broad during residency training to countries such as; Botswana, Nepal, South Africa, and Panama. There are also several faculty members who are actively involved with global health projects in Ethiophia, Haiti, Cameroon, and Honduras. Additionally, there are multiple clinical sites across the globe that have been established by prior residents or program directors, and we have several graduates who have gone on to pursue careers in international health. Dr. Wolfgang Rennert, former Pediatrics Program Director and an Associate Professor of Pediatrics, heads our global medicine interest group. There is also a longitudinal curriculum which he has developed for those planning overseas rotations. This involves studying a region’s needs and culture prior to a planned clinical rotation.

Research

Advisors are available to help pair a resident with the appropriate faculty member and project. There is an annual Research Day for residents, students and fellows to defend their posters. Funding is available for residents presenting their work at scholarly meetings.

Health Care Policy & Advocacy

Being so close to the US Capitol gives our residents a unique opportunity to pursue advocacy and lobbying for changes that positively impact health, and with this we've designed a rotation to be an introduction for physicians to this complex topic. The elective is structured as an independent study period. There is a syllabus of up-to-date material pertaining to current health care issues being debated by Congress. The rotation also includes site visits to congressional hearings, briefings, and lobbyist events. Residents ultimately research a topic in depth and present an overview for their peers. 

NIH

Clinical rotations and research opportunities for both Internal Medicine and Pediatrics. Residents have the opportunity to learn alongside some nationally known experts.

Bioethics

A respected and nationally known expert, Dr. G. Kevin Donovan, participates in monthly conferences with the residents on both services. Residents may opt to pursue advanced learning in this field.

The People

It is truly an inspiring mix of students, staff, faculty, residents, and patients that make this institution outstanding. The Hospital has adopted a Jesuit slogan, Cura Personalis which refers to caring for the whole person. This motto applies not just to patient care but how we treat our colleagues and students.