Residency Program Tracks

While the Internal Medicine Training Program at Virginia Commonwealth University Medical Center offers a number of training tracks to fulfill the interests and career plans of our trainees, each individual, regardless of track, receives excellent training in internal medicine and, at the completion of residency, is eligible for the American Board of Internal Medicine examination.

Categorical Track (NRMP Program Code: 1743140C0)

The Categorical Track is a traditional track in the internal medicine program designed for those individuals seeking a rigorous training course preparing them for careers in general adult internal medicine or any of its subspecialties.

All categorical residents will be asked to identify a training pathway in the winter of their intern year; this selection will be made based on individual resident career goals. Pathway selection allows for tailoring of the training curriculum to meet individual goals and needs. One to two months per year in the PGY-2 and PGY-3 years will differ in content based on the track selected. Pathway options will include:

Generalist Pathway

Track Director: Bennett Lee, MD, MPH

Designed for those individuals preparing for a career as a practicing internist or in academic general internal medicine. This track offers increased exposure to ambulatory setting experience through on-site ambulatory care blocks, the VCU faculty practice, the Fan Free Clinic (indigent-care free clinic) and community-based preceptorships. In addition, experiences in general medicine research opportunities will be available as will additional educational opportunities in performance improvement and business aspects of medicine.

  • One block community preceptor - PGY-2 year
  • One block transition to practice (Faculty Practice) - PGY-3 year
  • Additional longitudinal experience in community practice (including some training in the business and practice of medicine)
  • Generalist seminar series - monthly
  • Ambulatory procedure workshop (once in PGY-2 or PGY-3 year)
  • Funding to attend regional or national SGIM conference (MUST submit general medicine scholarly work or case presentation)
  • Requirement to complete specific electives for "certification" in general medicine pathway - to include - orthopedic or sports medicine, ophthalmology and dermatology compassionate physicians capable of delivering the highest quality medical care to patients in a variety of settings.

Global Health & Health Disparities Pathway

Track Director: Michael Stevens, MD, MPH

Offered for those individuals seeking training experiences that explore global health and health disparities. Residents will participate in an advanced global health and health disparities curriculum as well as a regular journal club. Residents who successfully complete this pathway will be awarded a Certificate in Global Health & Health Disparities.

  • Includes an international health experience at one of our partner sites in Honduras or the Dominican Republic during the PGY-2 year (2 weeks)
  • Research/QI block related to international health experience during PGY-2 & PGY-3 years (2 weeks/year)
  • International health experience at one of our partner sites in Honduras or the Dominican Republic during the PGY-3 year (2 weeks)
  • Additional ambulatory care clinic experience in resource-limited settings (such as the Fan Free Clinic and other settings) in PGY-2 & PGY-3 years
  • Participation in advanced curriculum and regular journal clubs focusing on global health and health disparities during PGY-2 & PGY-3 years
  • See Global Health & Health Disparities Program (GH2DP) website for additional details

Hospitalist Pathway

Track Director: Georgia McIntosh, MD

Designed for those pursuing careers in inpatient/hospitalist positions. This track emphasizes the inpatient management experience and will consist of clinical experience on our extensive hospitalist service, additional time as the medical admitting resident and the possibility of increased ICU experiences. In addition, trainees in this track will be offered educational experiences health care delivery systems, business and management aspects of medicine and performance improvement opportunities in order to better prepare them to become the hospitalists of tomorrow.

  • One block community hospitalist rotation (combined with formal PI training) - PGY-2 year
  • One block transition to practice (faculty hospitalist service) - PGY-3 year
  • Hospitalist seminar series - monthly
  • Additional procedure training options/programs
  • Requirement to participate in longitudinal PI project with hospitalist pathway peers
  • Funding to attend regional or national Society for Hospital Medicine conference (MUST submit hospitalist-oriented scholarly work, PI work, or case presentation)
  • Requirement to complete specific electives for "certification" in hospital medicine pathway - to include - hospitalist rotations (times two as noted), neurology consults, medicine consults, palliative care

Sub-Specialty Pathway

Designed for those interested in pursuing subspecialty careers. The curriculum will emphasize exposure to research opportunities, subspecialty inpatient and outpatient electives, and additional ICU experiences.

  • Each resident is offered electives in their future specialty
  • Each resident should participate in research month in PGY-2 year
  • Each resident is offered opportunity to participate in second research month
  • Each resident must participate in introduction to clinical and translational seminar series and will have clinical coverage to do so
  • Each resident will be provided with textbook in clinical and translational research
  • Residents will be mentored in fellowship program selection
  • Funding for presentation at national specialty meeting if scholarly work accepted

Women’s Health Pathway

Track Director: Krista Edelman, MD

Offered for those individuals seeking traditional categorical medicine training with an emphasis on issues of unique significance to the health of women. This exposure is provided through opportunities at Virginia Commonwealth University’s community-based center, the Women’s Health Clinic at Stony Point. Focused educational experiences also are provided through ongoing experience in gynecology and mental health clinics, ambulatory blocks and special lecture series.

  • One block Women's Health elective - PGY-2 year
  • One block Breast Health - PGY-3 year
  • Additional GYN experience throughout PGY-2 and PGY-3 year
  • Ambulatory clinic with WH preceptor
  • Women's Heath seminar series - monthly
  • Attendance at least once at the National Women's Health Conference - covered by program
  • Required presentation on Women's Health topic

Preliminary Medicine Track (NRMP Program Code: 1743140P0)

The Preliminary Medicine Track is a one-year program designed to provide a clinically rich hospital-based training experience that will serve as the knowledge and skill base for those seeking a variety of medical specialties. The one-year curriculum is a modification of the PGY-1 categorical year.

  • Applicants eligible for this track include those interested in advanced training in Dermatology, Diagnostic Radiology, Ophthalmology and Radiation Oncology.
  • Applicants with a PGY-2 interest in Anesthesiology will not be considered unless they VCU students.
  • Applicants interested in continued residency training in either Neurology or Physical Medicine & Rehabilitation should apply to Med-Prelim/Neurology track or the Med-Prelim/PM&R track.

Med-Prelim/Neurology (NRMP Program Code: 1743140P1)

The Med-Prelim/Neurology is a one-year program reserved for those matching to the Adult Neurology Residency at Virginia Commonwealth University.

  • A separate application to the Med-Prelim/Neurology track is REQUIRED
  • All interviews will be conducted through the VCU Department of Neurology. If you are invited to interview with Adult Neurology, you will meet with the Internal Medicine Program Director on your interview day. You will not need to interview separately for the VCU Internal Medicine Preliminary Program.
  • The Med-Prelim/Neurology Track is the only preliminary track option for Neurology residents at the VCU Medical Center. The only exception is for VCU students, who may rank both the Med-Prelim/Neurology track and the traditional Preliminary track.
  • To rank the Med-Prelim/Neurology Track in the NRMP system, you would rank the VCU Adult Neurology Advanced Program and on the supplemental list, rank the VCU Med-Prelim/Neurology Track.
  • For more information about the Adult Neurology program, visit the Department of Neurology website

Med-Prelim/PM&R (NRMP Program Code: 1743140P2)

The Med-Prelim/PM&R is a one-year program reserved for those matching to the Physical Medicine & Rehabilitation Residency at Virginia Commonwealth University.

  • A separate application to the Med-Prelim/PM&R track is REQUIRED
  • All interviews will be conducted through the VCU Department of Physical Medicine & Rehabilitation. If you are invited to interview with PM&R, you will meet with the Internal Medicine Program Director on your interview day. You will not need to interview separately for the VCU Internal Medicine Preliminary Program.
  • The Med-Prelim/PM&R Track is the only preliminary track option for PM&R residents at the VCU Medical Center. The only exception is for VCU students, who may rank both the Med-Prelim/PM&R track and the traditional Preliminary track.
  • To rank the Med-Prelim/PM&R Track in the NRMP system, you would rank the PM&R Advanced Program and on the supplemental list, rank the VCU Med-Prelim/PM&R Track.
  • For more information about the PM&R program, visit the Department of Physical Medicine & Rehabilitation website

Combined Emergency Medicine-Internal Medicine Program

VCU Medical Center, in partnership with the Richmond VAMC offers a combined five-year Internal Medicine-Emergency Medicine training for two residents per year. For more information about this program, visit the EM-IM Web site.

Combined Internal Medicine & Pediatrics Residency Program

The Internal Medicine and Pediatrics Program is a four-year program integrating internal medicine and pediatrics, with excellent training in both fields through hospital and ambulatory experiences, leading to dual board eligibility and numerous career options. For more information about this track, visit the Med/Peds Web site.