Combined Internal Medicine & Pediatrics Residency Training Program

Combined Internal Medicine & Pediatrics Residency Training Program

Med/Peds residents spend the majority of their inpatient time at one of our four main teaching hospitals: University Hospital, VA Medial Center, Jewish Hospital, and Kosair’s Children Hospital.

  • University Hospital – primary adult teaching hospital with 404 beds
  • Robley Rex Veterans Affairs Medical Center – service focused primarily on medicine, surgery, neurology, and psychiatry with 369 beds
  • Jewish Hospital -- high-tech tertiary referral center located in downtown Louisville, developing leading-edge advancements in a vast number of specialties and services with 462 beds
  • Kosair Childrens Hospital – primary pediatric teaching facility and the only freestanding, full-service hospital “Just for Kids” in the state of Kentucky with 263 beds

Message from the Director

"We are pleased you have decided to get to know us!  We hope this website will help you get to know us better.

For students who are researching residencies, you are about to embark on the journey of residency which will be the basis of your future medical career.  As you join the group of physicians who practice Combined Medicine/Pediatrics, you join a dynamic group of outstanding primary care physicians, subspecialists, clinical educators and leaders in healthcare.

The University of Louisville School of Medicine has offered training in Combined Medicine/Pediatrics since 1987.  We combine two exceptional parent departments with the University of Louisville categorical Internal Medicine and Pediatrics Residency Programs into an integrated residency. Our goal being the training of doctors who are able to provide outstanding clinical care to both adults and children. Both programs provide a wide range of clinical exposure, opportunities for research, and strong faculty. Our graduates are well-prepared for all the opportunities that combined Med/Peds training should offer including primary care, hospitalist medicine, academic medicine, and subspecialty training.  Our graduates have gone on to practice in the settings of primary care, subspecialty practice, hospitalist practice and academics here in Kentucky and beyond.What are the strengths of our program?  First and foremost, it’s our residents and faculty.  The faculty of both our parent departments are enthusiastic teachers who are passionate about providing thoughtful and state of the art care to our patients. We are also fortunate to have substantial support from Med/Peds trained physicians in the community, many of whom serve as gratis faculty. Our residents are exceptional, motivated teachers and highly skilled physicians.

Feel free to browse the site.  You will find additional facts about the program and information on the Louisville area.  Thanks for visiting."

Sincerely,

Laura Workman, M.D.
Director, Combined Internal Medicine & Pediatrics Residency Program

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Curriculum

Click here to see the typical rotation switch schedule

House Staff are allowed 4 weeks (28 days) of vacation. Exact dates are needed also list on your schedule requests any special request, such as marriage, family reunions, lectures, etc. Vacations will be Monday through Sunday unless specifically requested otherwise or tied to a night-float rotation. No vacations in July.

- 3 months of advanced notice is required for changes in schedule or vacations, except in emergencies.

PGY 1 (14 months)

Internal MedicinePediatrics

3 months – Wards* **

2 1/2 months – Wards* **
1 month – CCU* **1/2 month – UL NICU **

1 month – MICU* **

1 month – ED **

1/2 month - Night Team

2 months – Elective

1 month – UL Newborn Nursery

1 1/2 month – Elective

PGY 2 (10 months) ^

Internal MedicinePediatrics
1 month – Wards (S) **

1/2 month - Wards (S) **

1/2 month - Night team (S)

1 month – CCU or MICU (S) **
1/2 month – KCH NICU **
1 month – UL ED *1 month – PICU **
1 month – Elective1 month – Ambulatory
1 month – Elective or AHEC 1 1/2 month – Elective or AHEC

PGY 3 (12 months) ^

Internal MedicinePediatrics

1 1/2 months – Wards (S)* **

1/2 month - Night Float (S)

1 month – Wards (S) **
1/2 month – Neurology1 month – NICU * **
1 month – Jewish Renal **1 month -- ED
2 months – Elective3 months – Elective
1/2 month – Elective or AHEC 1 month – Elective or AHEC

PGY 4 (12 months)

Internal MedicinePediatrics
1 month – Wards (S) **1 1/2 month – Wards (S) **
1 month – CCU or MICU (S) **1/2 month – Heme/Onc **
1/2 month – Night float *1 month – CEC (Developmental)**
3 1/2 months – Elective1 month - Elective or Ambulatory
2 months – Elective

* = Must take in that PGY year.
** = No Vacation may be taken during rotation
^ = Must have 1 month of AHEC on IM or Peds during PGY-2, PGY-3, or PGY-4 year (No vacation on AHEC)
(S) = Supervisory month

Med/Peds Electives

Internal Medicine Electives

  • Allergy (2 weeks)
  • Cardiology
  • Dx Cardiology *
  • Dermatology
  • Endocrinology *
  • Gastroenterology *
  • Geriatrics (PGY 4)
  • Heme/Onc *
  • Hospice/Palliative Care (PGY4)
  • Infectious Disease *
  • Nephrology – Jewish Renal (PGY 2)
  • Neurology (PGY 3)
  • Orthopedics (2 weeks)
  • Pathology
  • Pulmonary
  • Radiology
  • Research
  • Rheumatology
  • Emergency Medicine
  • Gynecology

Pediatric Electives

  • Ambulatory
  • Allergy/Immunology **
  • Cardiology **
  • Child Psychiatry
  • Critical Care
  • Endocrinology **
  • Forensics (2 weeks)
  • Gastroenterology **
  • Genetics * (required)
  • Hematology/Oncology **
  • Hem/Onc outpatient
  • Infectious Disease **
  • Nephrology **
  • Neurology
  • Orthopedics
  • Pathology (Anatomic)
  • Pediatric Surgery
  • Pulmonology **
  • Radiology
  • Toxicology
  • Urology

* = highly recommended by IM.
** = are subspecialty electives – must complete a minimum of 4 from this list

How to Apply

We accept five interns annually. Applications are processed electronically through ERAS only and we ask for a total of three letters of recommendation from faculty who know you well.

We invite all applicants to schedule a visit and tour of the campus. If selected, interviews will be arranged with Med/Peds faculty members and categorical physicians. Residents will be available for a brief tour of the facilities and information during the interview day. The interview is one day, on either a Monday or Wednesday with dinner the night before with our residents including a brief city tour of Louisville.

  1. Applicants with one of the following qualifications are eligible for appointment to accredited residency programs at the University of Louisville School of Medicine.
    1. Graduates of medical schools in the United States and Canada accredited by the Liaison Committee on Medical Education (LCME).
    2. Graduates of medical schools in the United States and Canada accredited by the American Osteopathic Association (AOA).
    3. Graduates of medical schools outside of the United States and Canada who have current valid certificates from the Educational Commission for Foreign Medical Graduates (ECFMG).  In addition, as of the 2009-2010 academic year, schools located outside the U.S. and Canada must:
      1. Be officially recognized in good standing in the country where they are located
      2. Be registered as a medical school, college, or university in the International Medical Education Directory
      3. Require that all courses must be completed by physical on-site attendance in the country in which the school is chartered.
      4. Possess a basic course of clinical and classroom medical instruction that is
        • not less than 32 months in length; and
        • under the educational institution’s direct authority.
  2. Applications only accepted via ERAS.
  3. Application deadline is December 1st of the current year.
  4. Applicants must have graduated from medical school within 3 years of applying for residency.
  5. Applicants must have good written and spoken communication skills with proficiency in the English language.
  6. Applicants must have passed Step 1 of the USMLE or COMLEX.  Priority is given to those who have passed Step 2 of the USMLE or COMLEX.
  7. Applicants who are international graduates must be ECFMG certified.
  8. The residency program will not offer any PGY-1 positions prior to the National Resident Matching Program (NRMP) Match Day.
  9. Residents beginning training must have either a J-1 Visa, permanent residence in the United States or be a citizen of the United States.  (The University of Louisville does not sponsor H-1 Visas)
  10. Applicants must submit Visa information if applicable.
  11. Applicants seeking positions at the PGY-2 level or greater will be considered by the Medicine-Pediatrics Resident Review and Education Committee on a case by case basis.

Revised 1/2011
Approved by the University of Louisville Combined Medicine/Pediatrics RRC on ­­­­1/20/2011.

Laura Workman
Program Director

Jaclyn Hayes Elliott, M.A.T.
Program Coordinator

University of Louisville School of Medicine
Combined Internal Medicine & Pediatric Residency Training Program
550 S. Jackson Street, Room A3K00.
Louisville, KY 40202

Phone: (502) 852-4277
Fax: (502) 852-8980
medpeds@louisville.edu

Frequently Asked Questions

What's the difference between Med-Peds and Family Practice?

Family practitioners are trained to do more (pediatrics, medicine, obstetrics, minor surgery, podiatry) in three years, whereas Med/Peds concentrate solely on medicine and pediatrics in four years. One could say that FP relies more on breadth of knowledge where Med/Peds relies on depth. Med/Peds get much more intense inpatient exposure, especially on the pediatric side with many more months in the ICUs and NICUs. After graduating from residency, Med/Peds are eligible for subspecialty training in any specialty in either medicine or pediatrics.

What do Med/Peds graduates do when they're finished with residency?

Most go into primary care. Often they join up with a group of other Med/Peds physicians. Many work in emergency rooms and an increasing number are going into fellowships in either medicine, pediatrics, or both. Currently there is a growing demand for Med/Peds trained hospitalists.

What is better, a combined Med/Peds clinic or a separate medicine and pediatric clinic? Why do you go to private Med/Peds clinics?

Each has its advantages. Having one clinic is definately more convenient and it is great to see kids and adults in the same day. The major advantage, though, of having two clinics is that you're guaranteed to see pediatric patients during half of your continuity time. It's also nice to work with pediatricians and internists who have years of experience in the ambulatory setting. It gives you the perspective of both sides. Here at UofL, we have strong support of alum who practice primary care and function as preceptors for our continuity clinics. This is a little less convenient, but provides an unique perspective of outpatient medicine that residency programs have difficulty exposing training residents. We feel it is a great opportunity.

How much do Med/Peds make in the real world?

They make about what an internist in a given area will make. Typically FPs make a little less and general pediatricians start around 100-120K.

How important is it to do a Med/Peds residency at a program with a 'free-standing' children's hospital?

It depends on what you want to ultimately do. Our pediatric-trained ancillary staff are solely dedicated to taking care of kids in our children's hospital. Just getting X-Rays and EKGs read correctly can be challenging. You can't underestimate the importance of having an entire hospital devoted to kids, from the IV nurses to the physical therapists.

Can Med/Peds residents go on to do fellowships?

Yes. Since, at the end of our training, we are board certified internists and pediatricians, any medicine or pediatric subspecialty is fair game. Some people go on to do both (i.e. adult AND pediatric infectious diseases). We have recent graduates who trained as pediatric intensivists, combined Med/Peds GI, and pediatric cardiology fellowships.

Deep down are you more 'Medicine' or 'Pediatrics'?

Some people naturally find one side or the other more in tune with their own personality. There are definitely advantages and disadvantages to both. Adults tend to not be so cute and sometimes can smell and Kids are still cute even when they smell bad. But kids tend to have parents who can sometimes drive you nuts and you can sometimes learn more from adults because they have so many co-morbidities. Usually residents are pretty happy on whatever service their on but usually ready for the 'switch' to the other side.

Are you treated any differently by your categorical colleagues?

No. Both sides seem to put up with us pretty well. We blend, but at the same time, it's important for your program to have its own personality... and we do!

What is your interview day like?

We have a one day interview process with dinner the night before with Med/Peds residents. You will receive a tour and overview of both Pediatrics and Internal Medicine as well as a combined overview of the Med/Peds Program. And of course interview with the faculty and program director.