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Internal Medicine Residency – Central

Patients need care through every stage of life. An internal medicine residency with Geisinger prepares you to give it.

About us

Choosing a residency is an important decision. So, we’re committed to helping you find the right one.

Ready for a comprehensive, high-quality and personally rewarding experience to prepare yourself for a career in medicine? The internal medicine program at Geisinger awaits.

 

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Program overview

Curriculum

Learn the skills you need to make you exactly the kind of well-rounded, skilled, compassionate physician who makes a difference in patients’ lives.

Central Curriculum  


View sample block rotation

  All residents participate in a 6+2 schedule. During the academic year, you’ll have:
  • Two weeks of ambulatory clinic every 6 weeks
  • Thirteen 4-week blocks*

**Subspecialty selectives:

All residents will rotate through each of the core subspecialty rotations throughout their training:

  • Endocrinology
  • Gastroenterology
  • Hematology
  • Infectious diseases.
  • Nephrology
  • Oncology
  • Palliative medicine
  • Pulmonology
  • Rheumatology

* With the 6+2 schedule, some blocks are only 2 weeks long.

***Individualized educational experiences:

In addition to your core rotations, you can customize your educational experiences based on your long-term career goals.  All residents will receive 6 months of individualized educational experiences throughout their 3 years of training. These opportunities include, but are not limited to:

  • Addiction medicine elective
  • Ambulatory elective
  • Anesthesia
  • Cardiac imaging
  • Cardiology consults
  • Clinical informatics
  • Critical care consults
  • Dermatology
  • Electrophysiology
  • GI/Nutrition
  • Hepatology
  • Independent study
  • Interventional radiology
  • Medicine consults/procedures
  • Pathology
  • POCUS
  • Psychiatry
  • Radiology
  • Rehabilitation medicine
  • Research
  • Sleep medicine
  • Sports medicine

"I chose Geisinger because I wanted a wholesome residency experience. I wanted a taste of rural medicine in an academic setting and knew I could get the best of both worlds at Geisinger. This program offers exceptional learning through its diverse pathology, sick patients and didactics. It creates a great opportunity for research within most subspecialties and further mentorship from those investigators. Furthermore, our 6+2 schedule encompasses two weeks of clinic with consecutive golden weekends that allow for wellness and travel to nearby cities, but also continuity of care with clinic patients. The six-week curriculum is a mixture of specialties and inpatient medicine which is helpful in honing in on your career interests. Overall, Geisinger internal medicine program provides the support, guidance and care to become a real-world physician."

Julia Dave, DO, Class of 2024 

 Dave

 

Resident research

In keeping with Accreditation Council for Graduate Medical Education (ACGME) requirements, our residents are involved in quality improvement projects. These are designed to improve medical care, patient safety, workflow and resident education. Many residents are also involved in research. We offer you:

  • An involved faculty to serve as research and QI mentors
  • A fundamentals of research curriculum
  • Dedicated research support personnel and statisticians to guide you through study design, IRB approval and research funding
  • The opportunity to serve on quality improvement committees in your field of interest
  • Graduate medical education or departmental funding support to present your work at regional or national conferences

In the last two years, our residents have presented at the following national and local conferences:

  • American College of Cardiology (ACC) Annual Scientific Session
  • American College of Chest Physicians (CHEST) Meeting
  • American College of Gastroenterology (ACG) Annual Scientific Meeting
  • American College of Gastroenterology (ACG) Digestive Disease Week National Conference
  • American College of Osteopathic Internists (ACOI) Annual Convention
  • American College of Physicians (ACP) Regional and National Conference
  • American Heart Association (AHA) Annual Scientific Sessions
  • American Society of Hematology (ASH) Annual Meeting and Exposition
  • American Society of Nephrology (ASN) Kidney Week
  • American Society for Parenteral and Enteral Nutrition (ASPEN) - Nutrition Science & Practice Conference
  • Canadian Cardiac Oncology Network (CCON) Conference
  • Cardiovascular Research Technologies (CRT) Conference
  • European Society of Cardiology (ESC) Congress
  • Geisinger Resident and Fellows Scholarship Days
  • National Kidney Foundation (NKF) Clinical Meeting
  • Pennsylvania Medical (PAMED) Society Resident and Fellows Poster Competition
  • Pennsylvania Rheumatology Society (PRS) Annual Scientific Meeting
  • Pennsylvania Society of Gastroenterology (PSG) Annual Scientific Meeting
  • Society for Cardiovascular Angiography and Interventions (SCAI) annual scientific sessions
  • Society of Critical Care Medicine (SCCM) Critical Care Congress
  • Transcatheter Cardiovascular Therapeutics (TCT) meeting
 
Didactics

These sessions offer a comprehensive and in-depth look at a variety of topics in clinical medicine. Cases are presented in a variety of formats tailored to your individual learning style.

Morning Report

Residents are taught progressive skills and knowledge needed to manage complex clinical cases focusing on both foundational and more complex case presentations.

Noon Conference

This daily one-hour lecture series focuses on topics that help you prepare for clinical practice, offering board relevant clinical topics on a three-year rolling curriculum. Content is delivered by specialty experts in each field.

Grand Rounds

A series of scheduled educational events to explore new developments in internal medicine. Topics include:

  • Clinical care (both general and subspecialty care)
  • Medical education
  • Clinical, basic and translational research
  • Basic science
  • Translational research
  • Osteopathic medicine

Morbidity and Mortality Conference

This monthly conference is part of the grand round series. In partnership with department leadership, quality officers and faculty members, the M&M committee breaks down the case in question.

Each resident will have the opportunity to present at an M&M conference.

Simulated rapid response to critical illness

All residents participate in these specialized training exercises held in our simulation center.

Clinical reasoning curriculum

This unique educational series:

  • Explains the principles of clinical reasoning
  • Promotes more accurate and timely diagnosis
  • Teaches methods to minimize diagnostic errors
  • Analyze how physicians are susceptible to clinical errors and cognitive biases

Point of Care Ultrasound (POCUS):

All incoming residents will participate in a year-long workshop series dedicated to POCUS training. You will receive hands-on training for core POCUS topics pertinent to internal medicine trained physicians.

Board Review

Our new and improved board review curriculum focuses on preparing you to be successful in passing the ABIM. Examination strategies and critical thinking are exercised with our growth in “gamifying” the education experience.

Other unique educational sessions include:

  • Complex Case Conference: Designed to showcase our highly complex patients
  • Journal club: Clinical based, humanities and osteopathic
  • Osteopathic Grand Rounds: Delivered by our osteopathic recognition track residents
  • Standardized patient sessions: Designed to hone key clinical communication skills in difficult conversations  
 
Clinician educator track

Geisinger internal medicine residents have the opportunity to apply for and participate in a Clinician Educator Track. The purpose of this track is to provide internal medicine resident physicians with a foundation in medical education in preparation for possible future careers as clinician educators. As the rigors of intern year preclude involvement in this track, it is completed over the second and third years of residency. Those residents completing the track receive preferential consideration for chief residency positions. Upon successful completion of the clinician educator track, each resident will receive a certificate of distinction in medical education.

Timeline

Year 1

  • Apply for clinician-educator track
  • Consider ideas for educational scholarship project

Year 2

  • Participate in longitudinal clinician-educator track didactic curriculum           
  • Develop an educational scholarship project, with faculty guidance
  • Facilitate morning report and complex case conference with faculty observation and feedback
  • Lead intern survival series core didactics
  • Teach medical students during “clinician rounds”
  • Consider application for chief resident position

Year 3

  • Continued participation in longitudinal clinician-educator track didactics, morning report, complex case conference, intern survival series and medical student teaching
  • Implement and complete educational scholarship project
  • Submit academic project for presentation at Geisinger Educational Scholarship Symposium
  • Consider submission of academic project for publication and/or national conference presentation
     

Longitudinal Clinician Educator Track Curriculum Content

  • Adult learning theory
  • Metacognition and cognitive bias
  • Mastery learning
  • Best clinical teaching practices
  • Teaching clinical reasoning
  • Teaching in large and small groups
  • Simulation in medical education
  • Flipped classroom
  • Technology in education
  • Curriculum development
  • Hidden curriculum
  • Mentorship & coaching
  • Competency-based medical education and learner assessment
  • Advanced feedback skills
  • Diagnosing and remediating the struggling learner
  • Leadership in medical education
  • Professional development as a clinician-educator
  • Creating a teaching portfolio
 
Osteopathic recognition

Since 2016, we’ve offered an osteopathic recognition (OR) track.

As an osteopathic resident, you’ll train right alongside your allopathic counterparts. You’ll have the same didactic and clinical education and gain exposure to the world of osteopathic medicine. In addition to the program requirements set forth by the ACGME, residents are obligated to meet the standards defined by the American Osteopathic Association (AOA). Our OR residents participate in osteopathic journal clubs, grand rounds and perform osteopathic manipulative treatment (OMT) in their ambulatory clinic. After completing the program, each resident will earn an extra distinction of osteopathic recognition.

Frequently asked questions

As a DO in this program, how is my training different?

  • There are no differences in the rotation schedules, and you receive the same didactic and clinical education. You’ll have more opportunities for scholarly activities.

Will there be an extension of training for OR residents?

  • No. Residents (DOs and MDs) are expected to complete their training in 3 years.

What’s the difference between DO residents participating in OR and those who aren’t?

  • You’ll graduate residency with an extra distinction of Osteopathic Recognition.
  • The main difference will be the ability to participate in OMT clinic during your ambulatory block.

How many residents participate?

  • The program takes four to five residents per year beginning in your first year of residency.

Who is eligible to apply?

  • All first-year DO residents are eligible.
  • Interested MD residents can also apply (discuss with your course director for specific eligibility requirements).

How do I apply?

  • If you’re eligible, submit a written statement of interest to the course director to apply.

What will be expected of me?

Osteopathic recognition residents will:

  • Participate in monthly OMT didactic series/workshops and journal club sessions
  • Use osteopathic principles and philosophy during patient care
  • Participate in scholarly activity like presenting at osteopathic grand rounds

What are the benefits of this program?

  • Development and mastery in OMT techniques
  • Special consideration for chief residency positions
  • Opportunity to stand out among your peers as a leader and educator
 

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A message from our program director

Geisinger serves more than 1 million people in central and northeast Pennsylvania. We’ve been nationally recognized for innovative practices in quality, delivery models such as ProvenCare® and the use of an award-winning electronic medical record, Epic®. Our physician-led system has approximately 24,000 employees, including nearly 1,700 physicians, 10 hospital campuses, two research centers and a health plan with more than half a million members, all of which boost our hometown economies by $7.1 billion annually.

Geisinger Medical Center has earned American Nurses Credentialing Center (ANCC) Magnet Recognition®. And it’s home to the region’s only Level I Trauma Center, giving residents a broad medical and surgical experience.

Our internal medicine residency program started back in 1955 with only one resident. Since then, we’ve grown to 51 residents, with 17 new students coming in each year. Our three-year program is Accreditation Council for Graduate Medical Education (ACGME) accredited.

Besides our residency’s growth, we’ve been expanding our subspecialty fellowship programs. Choose from programs in:

  • Addiction medicine
  • Cardiology
  • Clinical informatics
  • Critical care medicine (CCM)
  • Gastroenterology
  • GI/nutrition 
  • Hematology/oncology
  • Hospice & palliative medicine
  • Infectious diseases
  • Nephrology
  • Pulmonary/CCM
  • Rheumatology
  • Sleep medicine
  • Sports medicine

You can also choose advanced fellowships in:

  • Interventional cardiology
  • Electrophysiology
  • Advanced endoscopy

We look forward to meeting you!

Sincerely, 

Lauren DiMarino, DO, FACOI, FACP
Program Director

blue line

Program highlights

    •  6 + 2 (x + y) curriculum model that offers:
      •  Continuity of care of our ambulatory patients
      •  Additional ambulatory experiences
      •  Improved work-life balance
      •  Built-in wellness time to attend to personal care needs
    •  All major subspecialties/fellowships available for elective rotations
    •  Wide breadth of clinical experiences and career development programs allowing for 100% fellowship match rate
    •  Curriculum designed to give residents a strong foundation in general internal medicine with experience in a variety of areas, including:
      •  Outpatient units
      •  Inpatient units
      •  Intensive care
      •  Subspecialty areas
    •  Specialty conferences to enhance interactive learning
    •  Integrated board review curriculum
    •  Dedicated simulation center and curriculum
    •  Procedure and POCUS workshops
    •  Robust wellness framework, including built-in wellness time and recurring wellness activities
    •  24-hour ancillary support for
      •  Phlebotomy
      •  IV
      •  Radiology
      •  Patient transport
    •  EPIC electronic medical record system with seamless documentation across inpatient and outpatient settings, with patient records available for more than 30 years
    •  Access to data and analytics for research
    •  Quality improvement opportunities
    •  Funding for research activities, including reimbursement for accepted presentations
    •  Clinician educator track for the budding educator
    •  Osteopathic recognition track to develop IMM skills and reinforce Osteopathic principle

The Geisinger difference

Our values – kindness, excellence, safety, learning and innovation — are at the heart of everything we do. We provide high-quality, patient-centered, cost-effective care to our patients across central Pennsylvania. And our residents learn to do the same.

    •  Here at Geisinger, you get the best of both worlds: Training at a robust, nationally recognized academic medical center in the heart of Pennsylvania. And a location that enhances well-being and promotes work/life balance.
    •  Access to educational resources like:
      •  Simulation skill development and procedure workshops
      •  Research and quality improvement (QI) courses
      •  Osteopathic manipulative medicine (OMM) workshops
    •  Geisinger Medical Center has everything you need to thrive as an internal medicine resident, including:
      •  More than 60 intensive care unit beds
      •  38 operating rooms
      •  State-of-the-art imaging facilities
      •  Full breadth of subspecialty services
      •  Compassionate staff
      •  Dedicated internal medicine core faculty, residents and medical students.

 

A message from the chairman

Dear Colleague:

Thanks for your interest in the Internal Medicine Residency Program at Geisinger Medical Center. Our tradition of excellence in residency training continues as we train you, our physician leaders of the future.

With this multidimensional approach to education, you’ll get a broad range of experiences in a supportive environment. Inpatient rounds, didactic presentations and multidisciplinary team conferences help you understand your patient’s health in a broader context. At Geisinger, care is empathic, evidence-based and collaborative — and you’ll learn a lot from our talented and dedicated faculty.

During residency training, you’ll grow personally and professionally as you develop your skills as a physician, in part due to mentorship and learning opportunities. Once you’ve completed your residency, we’re confident you’ll thrive in any clinical environment.

The Medicine Institute is actively engaged in clinical research. Each department in the institute has ongoing clinical projects, and we encourage you to participate. Every year, staff, residents and fellows publish their work in peer-reviewed journals and present their work at regional and national meetings.

So, why Geisinger? Providers know that we’re recognized nationally as a leader in enhancing care through innovation, quality and applied technology. Our integrated clinical practice model includes precision medicine and clinical genomics, machine learning with artificial intelligence and the use of big data to improve population health and chronic disease conditions. And patients know they’ll get top-notch care from a company that’s been in their community for more than a century.

We’re excited to welcome the next class of internal medicine residents to our Geisinger family. I hope you come with curiosity and eagerness to begin an exciting and meaningful career in medicine. We look forward to supporting you in that journey.

Sincerely,

Kenric Maynor, MD

Chair of the Geisinger Medicine Institute

Kenric Maynor MD

Frequently asked questions

Read on for answers to some of our most commonly asked questions.

How do I apply?

We accept all applications through the Electronic Residency Application Service (ERAS).
What is the application timeline?

What documents do I need to apply?

  • ERAS application (Electronic Residency Application Service)
  • Letters of recommendation
    • Department of Medicine Structured Evaluation Letter (IM SEL)
      • Letter can be written by Department of Medicine chair, internal medicine clerkship director or dean.
      • Alliance for Academic Internal Medicine (AAIM)-recommended standardized template is preferred. Click here to view the template.
      • **If your school doesn’t offer this, provide an additional clinical letter of recommendation instead.**
    • At least one clinical letter of recommendation (LOR) from an internal medicine faculty member
      • Letters should be written by physicians who are qualified to evaluate your ability and performance.
      • Letters should refer to your term of service and your ability and performance.
    • An optional LOR could be provided by clinical faculty or a scholarly project mentor.
    • All letters should be submitted to the ERAS system.
  • Current curriculum vitae (ERAS-generated)
  • Personal statement
  • Official medical school transcript (translated to English if applicable)
  • Official USMLE/COMLEX transcript
    • Step 1/Level 1 is required to apply (consideration given to applicants with pass on first attempt)
    • Step 2/Level 2 is required prior to the match
      • We highly encourage you to have Step 2/Level 2 scores available before the application deadline. Special consideration will be given to those that have both Step/Level scores available by the application deadline.
  • Current professional photo
What guidance do you have on program signaling?

  • We encourage all applicants who are interested in our program to signal us.
  • In accordance with current guidance provided by the Association of Program Directors in Internal Medicine (APDIM), applicants are encouraged to signal their home institution or any institution that they rotated at if it is one of their highly interested programs.
  • Please note that all applicants who signal our program will undergo a holistic review for interview consideration, however not all applicants who signal our program will be selected for interview.
 
Are there additional requirements for international medical graduates?

  • Graduation from medical school within the past 2 years
  • U.S. experience (i.e., clinical or “observership”) is preferred but not required.
  • Current ECFMG certification
  • Geisinger Medical Center offers both J-1 and H-1B visas to qualified candidates.
  • If you are seeking an H-1B visa, you must have passed USMLE Step 3 and the score report must be available by Match Day.  Please note that the number of H-1B visas may be limited.
  • Geisinger Medical Center doesn’t offer observerships.
 
What is the interview process like?

All interviews this year will take place virtually.  We hope to be able to offer an on-site “second look” to interviewees prior to the rank deadline as well.

We hope you’ll join us on interview day to learn more about the Geisinger difference, our unique training environment and the opportunities we have to offer.

  • Interview invitations are extended to prospective applicants via the Thalamus interview scheduler system.
  • Interviews occur from mid-October until mid-January.
  • Most interview days occur on Tuesdays, Wednesdays, and Thursdays.  AM and PM sessions are offered to accommodate applicants schedules and provide equitable access to interview opportunities regardless of geographic location of the applicant.
  • If selected for an interview, you’ll have the opportunity to learn about our program more in-depth. You’ll also interact with current residents, which is an integral part of the interview process.
 
What is life like in Danville?

Located on the banks of the Susquehanna River near the scenic Appalachian Mountain range, Danville is a vibrant small town, offering year-round cultural events. Our community is safe, family friendly, great for outdoor enthusiasts, and has an excellent low cost of living. We are also within a short drive to other major east coast cities.
What can I expect from the ambulatory experience?

  • You’ll maintain patient panels in your general internal medicine (ambulatory medicine) continuity clinic. The continuity clinic is located on the ground floor of the Danville campus.
  • As a resident, you’ll have a 6+2 schedule. This means you’ll have ambulatory clinic every 6 weeks for a 2-week period throughout the academic year.
  • The Internal Medicine Ambulatory Curriculum (IMAC) is a didactic series focusing on various internal medicine topics.
  • You’ll have the opportunity to rotate through many experiences, including:
    • Addiction medicine
    • Behavioral health
    • Cardiology
    • Culinary medicine
    • Community practice at a free clinic
    • Dermatology
    • Endocrinology
    • Gastroenterology
    • Gynecology
    • High-acuity and hospital discharge clinics
    • Nephrology
    • OMT clinic for osteopathic recognition residents
    • Pulmonology
    • Rheumatology
Where do residents go after graduation?

Thirty to forty percent of our graduates practice in primary care or hospitalist medicine. And more than 65% practice in Pennsylvania.

Most (60–70%) of our graduates pursue fellowship training at institutes across the U.S.

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