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Internal Medicine Residency Overview

Our program has been in place for more than 30 years, enjoying a reputation for quality and drawing competitive applicants from across the country. We thrive in a smaller, humane, academic program niche. Having grown to 55 residents and fellows, there is no comparably sized program in New England that boasts a faculty as large within the Department of Medicine. Because we hold education to the highest standards, the philosophical goals of the program are consistent with ACGME regulations.

Educational Goals

  • Provide patient care that is compassionate, appropriate, and effective for the treatment of health problems and the promotion of health.
  • Have medical knowledge about established and evolving biomedical, clinical, and cognate (e.g., epidemiological and social-behavioral) sciences and the application of this knowledge to patient care.
  • Use practice-based learning and improvement that involves investigation and evaluation of their own patient care, appraisal, and assimilation of scientific evidence, and improvements in patient care.
  • Have interpersonal and communication skills that result in effective information exchange and teaming with patients, their families, and other health professionals.
  • Demonstrate professionalism, as manifested through a commitment to carrying out professional responsibilities, adherence to ethical principles, and sensitivity to a diverse patient population.
  • Deliver medical care in a systems-based practice, as manifested by actions that demonstrate an awareness of an responsiveness to the larger context and system of health care and the ability to effectively call on system resources to provide care that is of optimal value.


  • Categorical: This three-year program is the traditional Internal Medicine training residency leading to board eligibility in Internal Medicine.
  • Preliminary: This one-year experience is required as preliminary training by many non-medical residencies. Identical to the first year of the categorical track, it provides broad, clinical exposure to general inpatient medicine.

Housestaff Assignments

Our one-intern to one resident teams permit the members of the admitting team to work together throughout the admitting day. We do not have the more traditional, two intern to one resident model that is commonplace. This really allows the resident to focus on their role as a supervisor and teacher and tailor the experience to the one intern they are working with.


  • Five General Medical Service Teams (one resident and one intern each)
  • One ICU team (three residents, two interns)
  • One CCU/Maxi-care team (three residents, three interns)
  • One Evening float intern
  • One Night float resident and Night float intern


Elective time allows the house officer to reinforce knowledge in subspecialties of internal medicine as well as be exposed to other medical disciplines that one might not see in their future careers. Our program again takes a balanced approach to elective time:

  • PGY1: 9 to 10 weeks / 2 to 3 months
  • PGY2: 13 to 14 weeks / 3 to 4 months
  • PGY3: 18 to 19 weeks / 4 to 5 months

The opportunity of elective time in the first year gives house officers the ability to investigate at an earlier stage in their training whether a fellowship may be interesting to them or not. House staff may opt to conduct clinical and bench research during their elective time.


  • PGY 1   $56,014
  • PGY 2   $57,595
  • PGY 3   $61,110
  • PGY 4   $64,584
  • PGY 5   $68,452
  • PGY 6   $72,508
  • Educational stipend for interns: $200
  • Educational stipend for residents: $1200


RWMC offers medical and dental plans using pre-tax dollars to pay the employee's share. These plans can also be waived for a cash back payment. Health care spending is also available using pre-tax dollars. Dependent care spending is available using pre-tax dollars.

RWMC also offers life insurance, dependent life insurance, long-term disability insurance, tax sheltered annuities, and tuition reimbursement. Specifics of the terms, eligibilities, and conditions of coverage can be obtained from the Benefits Division of the Human Resources Department.

Interns and junior residents receive 15 days of vacation. Senior residents receive 20 days of vacation. Our current holiday schedule (December/January) also enable all housestaff to have an additional 7 days of vacation at this time.