All General Internal Medicine (GIM) fellowship participants have opportunities to enhance clinical, teaching, and research skills during their times in the program. Emphasis, and time spent in each of these activities, varies with the track chosen. Two tracks are offered, although modifications can be arranged to accommodate individual needs.

The Clinician-Educator track prepares internists to pursue careers in academic teaching settings as mature clinicians and educators. This track is one year in length, and allows the participant to enhance skills as an educator. Approximately 30% of time is spent in direct patient care. The remainder of time is spent in educational study, faculty-development, and opportunities for supervised teaching of residents, and students, in the clinic, ward, and conference room. Experience with research methods and curriculum development is also provided, and fellows have opportunities to undertake educational research.

The Clinician-Investigator track, which is under development, will prepare the fellow for a career as a researcher in general internal medicine, outcomes research, and clinical epidemiology. This track will be two years in length, and will also involve no more than 30% direct patient care. Basic experience in teaching will also be provided but the main emphasis will be on the learning of research methods and on the performance of supervised research. The resources of Geisinger's Weis Center for Research, and of Geisinger's Center for Health Research and Rural Advocacy, will contribute greatly to the participant's experience. An opportunity to obtain the Masters in Public Health (MPH) is anticipated.

Time allocation (approximate)
Clinician- Educator track:

• 10% Learning teaching methods
• 40% Doing supervised teaching
• 5% Learning research methods
• 10% Doing supervised research
• 5% Learning management//administrative/informatics skills
• 5% Inpatient clinical practice
• 25% Outpatient clinical practice

• 5% Learning teaching methods
• 10% Doing supervised teaching
• 30% Learning research methods
• 30% Doing supervised research
• 5% Inpatient clinical practice
• 20% Outpatient clinical practice

Mentoring
At the start of the fellowship the fellow will select a mentor based on educational or research interests. The mentor may be a member of the Department of General Internal Medicine or an additional department such as Information Technology or the Center for Health Research. Mentorships with individuals from institutions outside the Geisinger system will be supported when needed to enhance the fellow's experience.

The fellow and mentor will develop specific personal goals for the fellow's experience, consistent with the general fellowship goals outlined above. The fellow will meet monthly with both the fellowship director and the mentor.

Career development
The fellow will attend regional and/or national meetings of professional organizations such as the Society of General Internal Medicine (SGIM), the American College of Physicians (ACP), and the Association of Program Directors in Internal Medicine (APDIM). The fellow will be expected to present his /her research project, or equivalent scholarly work, at one or more of these meetings.