Internal Medicine Residency Programs

Internal Medicine - Categorical & Preliminary (ACGME Accreditation # 140-48-31-423)

This is an exciting time to embark on a career in internal medicine. Genomics and proteomics are revolutionizing our approach to disease and health maintenance. A focus on evidence-based medicine allows us to critically appraise diagnostic and treatment options. Meanwhile, it has never been more important to reflect on our ability to provide cost-effective care to an aging population. The primary goal of the Categorical Internal Medicine Residency Program is to provide you with the training, resources and experience to thrive in any of the disciplines that are open to well-trained internists. Our goal is to train leaders in internal medicine who are setting new standards in patient care and in scientific investigation. We take particular pride in preparing you to be change agents within the field who, through inquiry or practice improvement, are prepared to advance the science and create the healthcare system of the future. The one-year Preliminary Internal Medicine Residency provides a solid foundation for further training in non-internal medicine specialties such as dermatology, radiology, anesthesiology, neurology and physical medicine. Although schedules vary slightly, preliminary medicine residents are otherwise indistinguishable from categorical residents and enjoy the same benefits and responsibilities. The program's web site can be found here. The Residency Coordinator is Susan Jones.

Internal Medicine/Pediatrics (ACGME Accreditation # 700-48-14-075)

Our mission is to provide exceptional education and training in the care of adults and children with the goal of preparing our graduates for careers in general Med-Peds practice, sub-specialty fellowships, or research and academia. We accomplish this by combining the best of two nationally renowned categorical programs in a setting that fosters personal growth, pursuit of professional excellence and academic inquiry, while supporting balance in life. Questions may be directed to Susan Jones and more information and requirements may be found at the program web site.

The Internal Medicine Clinical Investigator Pathway

For physicians planning careers in biomedical research, our Internal Medicine program offers a Clinical Investigator Pathway, designed to provide intensive research training as an integral part of the residency experience. This program is approved by the American Board of Internal Medicine. The curriculum of the Clinical Investigator pathway will be individualized, to fit the background and educational needs of the trainee.

Its basic outline is the following: PGY-1 year: identical with that of the categorical internal medicine residency. The PGY-2 year is another full year of clinical training in internal medicine, with emphasis on the fundamentals of general internal medicine and on meaningful patient responsibility.

Following the two clinical years are two or three years of full-time research, under the direction of a research supervisor. The research may be conducted in one of the laboratories of the Department of Internal Medicine, the Institute of Molecular Medicine for the Prevention of Human Diseases, a basic science department of the Medical School, or elsewhere as arranged by the trainee and research supervisor. The trainee will maintain clinical skills by a participation in a continuity clinic appropriate for his/her stage of training. One or two years of clinical training in a subspecialty. After the PGY-1 year, the clinical and research training may be undertaken in any sequence.

Candidates for the Clinical Investigator Pathway must have documented superior clinical performance. Their admission into the pathway and arrangements for research must be approved in advance by the Department Chairman, and by the American Board of Internal Medicine, prior to completion of clinical training in internal medicine.

Individuals who wish to pursue the Clinical Investigator Pathway should apply to and match with the Categorical internal medicine residency program (NRMP #292316). A resident who desires to enter this pathway should discuss his or her plans with the Program Director and Chairman, no later than December of the PGY-2 year.

Internal Medicine Clinical Fellowship Programs

Cardiovascular Disease (ACGME Accreditation #141-48-31-019)

The Cardiovascular Fellowship Training Program provides an academically-oriented comprehensive training in cardiovascular diseases. The program maintains full accreditation through the ACGME and offers seven positions each year. The three-year program provides a well-rounded exposure to clinical and experimental cardiovascular medicine, yet it allows flexibility for tailoring training in keeping with individual career goals. Sub-specialty training is offered in Interventional Cardiology and Cardiac Electrophysiology as well. The major goal of this program is to prepare tomorrow's clinicians and clinical scientists. Questions should be directed to the Division's web site.

Interventional Cardiology (ACGME Accreditation # 152-48-12-069)

In accordance with our goal of training future academicians, the program has an emphasis on developing an active area of research interest in addition to providing outstanding training in basic and advanced techniques in interventional cardiology. During the one year fellowship the fellow will acquire expertise as primary operator on coronary interventions, ethanol septal ablations, patent foramen ovale (PFO) and atrial septal defect (ASD) closures, and valvuloplasties in addition to learning to teach general cardiology fellows diagnostic cardiac catheterization. All facilities use state of the art equipment and techniques, including flat-panel imaging, intravascular ultrasound (IVUS), fractional flow reserve (FFR), intracardiac echo (ICE), rheolytic thrombectomy, as well as "niche" techniques such as rotational atherectomy. As a dedicated site to primary coronary intervention for acute myocardial infarction, trainees have broad exposure to the entire spectrum of coronary disease, including chronic stable coronary artery disease, chronic total occlusion (CTO), acute coronary syndromes and ST-elevation MI. A thorough curriculum, including academic conferences, literature reviews, review of unusual cases/presentation has been a tradition in our the Cardiology Division. The Cardiac Catheterization Laboratory is performing a full range of diagnostic and interventional peripheral angiographic procedures, including studies of the subclavian arteries, renal arteries, abdominal aorta, iliac and femoral arteries. Questions should be directed to the Division's web site.

Cardiac Clinical Electrophysiology (ACGME Accreditation # 154-48-21-082)

The Clinical Cardiac Electrophysiology Fellowship program is accredited by the ACGME and meets the requirements for American Board of Internal Medicine Subspecialty Certification in Clinical Cardiac Electrophysiology. The program provides outstanding clinical training in the management of arrhythmias and syncope, electrophyiologic testing, radiofrequency ablation, and implantation of arrhythmia and resynchronization devices. The major goal of this program is to prepare tomorrow's clinicians and clinical scientists. Furthermore, the fellowship provides excellent opportunities for non-accredited research and is designed to prepare fellows for careers in academic cardiac electrophysiology. Questions should be directed to the Division's web site.

Endocrinology, Diabetes & Metabolism (ACGME Accreditation # 143-48-31-017)

Our subspecialty training program is designed to provide two to three years or more of advanced clinical and research training in the field of Endocrinology, Diabetes and Metabolism. While our major emphasis is on training academic endocrinologists who have an interest in basic and/or clinical research, our program also fulfills the needs of trainees who wish to become clinician-educators. Our program recognizes that some trainees may evolve into specialists whose activities encompass more than one of the above career paths. Trainees are given increasing responsibility as they progress through the program and demonstrate their expanding knowledge base and expertise in diagnosis and management of endocrine disease. They serve as leaders of the endocrine team, which consists of the fellow, internal medicine residents and medical students, with attending supervision. Our program emphasizes a scholarly approach to diagnosis and management. Self-instruction is expected of the trainee along with critical analysis of the patient’s problems and appropriate decision analysis regarding further evaluation and/or management. Questions may be directed to the program's web site or to the Fellowship Coordinator Ms Caroline Warner

Gastroenterology (ACGME Accreditation # 144-48-31-017)

The Gastroenterology Fellowship Program offers combined clinical and academic training. The program is designed to prepare you for an academic career as a Clinical Scholar in Gastroenterology and Hepatology. This three-year fellowship offers: Comprehensive experience in clinical gastroenterology, hepatology, liver transplantation and nutrition; Expertise in endoscopic procedures, motility procedures and liver biopsies; An extensive conference series with didactic lectures; Protected research time leading to peer-reviewed publications; Outstanding facilities including, endoscopy labs, a motility lab, outstanding libraries, and an electronic medical record which can be accessed remotely; Superb and collegial surgical teams, excellent support from radiology in all current techniques, and dedicated pathology teams at both the clinic and hospital
Upon completion of the fellowship, you will be well prepared for a role as a junior faculty member in the university setting or as a consultant in a clinical academic group practice. Details on admission requirements and other information may be found at the program's web site. Question should be directed to Ms Helen Tanner .

Geriatric Medicine (ACGME Accreditation # 151-48-31-162)

The Geriatric Medicine Fellowship Program consists of clinical, didactic and research components designed to expose trainees to the essential elements of geriatrics and gerontology.The goal of the program is to develop academic leaders with skills in clinical geriatrics, gerontology research, geriatric medical education and administration. Fellows who complete the clinical year will be able to evaluate and manage a broad spectrum of geriatric syndromes through the entire continuum of care including ambulatory clinic, acute care and rehab hospital, sub acute care, long term care, assisted living, and home care. They will have a solid understanding of the physiology of aging. They will be well versed in geriatric health care financing as well as regulatory, and other administrative issues pertinent to the care of the elderly. More information may be found at the web site of the Geriatric Medicine Division. Questions should be directed to Ms Catina Erwin.

Human Immunodeficiency Virus (HIV) Medicine (TMB Approved #503-48-14-13)

The HIV Medicine Training Program is designed to provide Infectious Disease clinicians and medical research scientists with an opportunity to expand their knowledge and level of expertise in the field of HIV infection and its complications. Candidates eligible for this program are those who have successfully completed their core training in an accredited Internal Medicine residency program and have shown an interest in an academic career focused on HIV-related clinical and research activities. The fellowship provides experience caring for HIV + patients, including management of antiretroviral therapy and opportunistic infections. Is one of very few post-residency HIV training opportunities for primary care physicians in the US. Emphasis placed on comprehensive HIV primary care and care of under served HIV+ populations. Completion of this fellowship prepares the fellow for the credentialing process of the American Academy of HIV Medicine. As a stand-alone program, this track does not lead to board certification in Infectious Diseases. Requests for more details or application procedure should be directed to Ben. J. Barnett, 713-500-6737.

Infectious Disease (ACGME Accreditation # 146-48-31-018)

The infectious disease fellowship offers training and research opportunities to physicians who wish to specialize in infectious diseases. Our clinical fellowship is an ACGME-accredited program that combines clinical and research experiences. The primary goal of the program is to prepare trainees for an academic career in either basic or clinical science research and clinical practice. Further details may be found at their web site and or through the fellowship coordinator Lakecia Quinney.

Nephrology (ACGME Accreditation # 148-48-31-015) a.k.a. Renal Diseases & Hypertension

The fellowship training experience of the nephrology division at Columbia-Presbyterian is designed to provide outstanding practical and academic training in every aspect of nephrology and prepares fellows for a productive career afterwards. The fellowship is an intensely academic one, designed not only to provide a broad knowledge of nephrology, but include the ability to integrate a number of equally important precepts-interpersonal skills, professional attitudes, humanistic qualities, and lifelong learning. The program has extensive information on their web site. Questions may be directed to Courtney Stevens.

Pulmonary Disease & Critical Care Medicine (ACGME Accreditation # 156-48-31-071)
Sleep Medicine (TMB Approval #503-48-14-38)

The fellowship program is designed and balanced to provide each trainee with a range of exposure to the diagnosis and management of pulmonary diseases and the experience and skills required of a medical intensivist. At the present time, three new fellows are admitted to the program every year. Clinical responsibilities primarily encompass the first year and half of the second year, with the remainder of the three years devoted to research and teaching activities. During the clinical phase of the training, fellows are involved in evaluation, diagnosis and treatment of patients admitted to the various affiliated hospitals. Fellows assess problems, make appropriate diagnostic and therapeutic recommendations, and perform specialized procedures, including fiber optic bronchoscopy. Trainees receive instruction in pulmonary function and x-ray interpretations, principles and techniques of hemodynamics and mechanical ventilation, and all other aspects of pulmonary and critical care medicine. Throughout the program, fellows are encouraged to become independent thinkers and develop an attitude of intellectual scholarship by providing an intensive academic atmosphere. Our graduates are equipped to enter any aspect of pulmonary and critical care medicine, from full-time academia to full-time private practice. The Division's dedication to excellence in patient care, research, and teaching is expressed in every phase of the training program. A distinguished faculty of full-time and numerous part-time physicians and scientists share teaching responsibilities while pursuing active research and delivering modern clinical care. Two positions are also available for the free standing Sleep Medicine fellowship. At the present time, Questions should be directed to Melody Racicot or to the program web site.