Residency Tracks / Combined Programs

The Department of Medicine is involved in graduate medical education primarily through its categorical medicine program and its large Medicine-Pediatrics combined program. The categorical program has 36 trainees per year with a total cohort of 108 residents while Med Peds is 14 per year or a total of 56 trainees. In addition to these programs, Indiana University Department of Medicine supports training in Medicine-Neurology, a five-year program that provides individuals eligibility to sit for both the medicine and neurology board examinations. We host preliminary residents for other departments on campus but do not have a stand-alone preliminary program. The transitional program is a separately accredited and managed one-year program based at Methodist Hospital under Dr. John Black's direction. Please select the links on the left to see more information about these other training options.

Medicine Pediatrics

The residency program currently accepts 14 intern candidates into each year's class. One half of each class begins their training in medicine, the other half in pediatrics, with each group rotating between departments every four to five blocks.

Residents in the combined medicine/pediatrics program spend 16 blocks as interns. During this time, they are introduced to rotations on inpatient services at our five major hospitals, interspersed with ambulatory and elective assignments to provide a solid foundation in clinical decision-making. Interns' experiences are sufficiently broad and complete to provide them the confidence to transition to a supervisory role at month seventeen. The Med-Peds residents switch between departments every four to five blocks, allowing for exposure to seasonal illnesses in both adult and pediatric patients. During the remaining 36 blocks, the resident performs as a team leader (corresponding to a second or third year categorical resident) expanding his/her role as both clinician and teacher. The supervisory responsibilities blend inpatient and outpatient services to prepare the resident for a variety of future career options. Elective choices are tailored to individual career needs.

The training exposes the resident to the broad range of adult and childhood illnesses. Designed to meet the combined guidelines established by the American Boards of Internal Medicine and Pediatrics, the curriculum undergoes continual evaluation and development in response to feedback from residents and faculty. The rotations encompass neonatology to geriatrics, ambulatory, inpatient, emergency and intensive care in public, private and managed care settings. With the recent focus on competency-based training we have adopted several other important experiences in to the program, which include a quality improvement project, evidence-based medicine learning, professionalism portfolios and clinic passports.

Inpatient team size varies from 2 to 6 residents. The number of patients per intern usually averages from 6 to 10. Determinants of team size include educational goals and patient volume and acuity on the individual services. Third and fourth year medical students are frequently participants in ward teams. Faculty and, on certain services, fellows are readily accessible at all times for assistance and guidance.

All rotations last approximately 28 days. Night call during the internship will adhere to the 2011 Duty Hour regulations. The subsequent 36 blocks, night call varies from every fourth to sixth night, averaging every fifth night. Housestaff have at least four days free of duties each block. There are a number of ambulatory and elective call free blocks. Residents are encouraged to develop their individual skills via independent scholarly or leadership projects. They also have the opportunity to demonstrate citizenship through participation in residency and institutional committees. Our program strictly adheres to current residency training guidelines.

Didactics are integrated into both departments' activities, including Grand Rounds, morning reports and noon conference series. Each resident is scheduled to present several conferences: a review of a clinical topic, utilization of skills in literature review and journal club review of literature. Conference series are designed to allow residents in the combined program exposure to each department's lecture curriculum over their four years.

Please see the detailed website for the Med-Peds residency program here:
http://pediatrics.iupui.edu/body.cfm?id=639&fr=true

Medicine Neurology

DESCRIPTION OF THE MEDICINE-NEUROLOGY TRAINING PROGRAM AT IU SCHOOL OF MEDICINE

Training in the medicine-neurology training program leads to board eligibility in both medicine and neurology in five years. This training occurs within existing fully accredited internal medicine and neurology training programs at the teaching hospitals of the Indiana University School of Medicine. These include: Indiana University Hospital, Riley Hospital for Children, Wishard Memorial Hospital, Methodist Hospital, and the Roudebush VA Medical Center. Four of these hospitals are located on a single medical campus within easy walking distance of each other. The three campus adult hospitals are functionally united within the both the Department of Medicine and the Department of Neurology. Riley Hospital is used for the neurology, but not the medicine, component of the training. Methodist Hospital provides the added perspective of a private hospital and the opportunity to work with physicians in private practice.

THE TRAINING EXPERIENCE IN BRIEF

Year 1 - Medicine 12 months

Year 2 - Neurology 6 months, Medicine 3 months, Neurology 3 months

Year 3 - Medicine 3 months, Neurology 6 months, Medicine 3 months

Year 4 - Neurology 6 months, Medicine 3 months, Neurology 3 months

Year 5 - Medicine 3 months, Neurology 6 months, Medicine 3 months

A MORE DETAILED DESCRIPTION OF THE TRAINING EXPERIENCE

Year 1
Medicine-Neurology trainees spend their first year in internal medicine. Ambulatory training includes a weekly continuity clinic one-half day per week at our VA Hospital clinic site, one month in the Wishard Hospital emergency room (with the option for one week of vacation), one month devoted exclusively to ambulatory patient care and didactic training, and two weeks of an elective experience (linked to a one- or two-week vacation), part or all of which includes an ambulatory component, depending upon the elective chosen. The ambulatory block includes a core experience in dermatology and gynecology. Inpatient training includes nine months on inpatient rotations, which, on average, are evenly divided among the three adult teaching hospitals. The general medicine inpatient services at Wishard Hospital care for both intensive and non-intensive care patients; about 15% are the former. One of the rotations at University Hospital is on the cardiology inpatient service.

Continuity clinic occurs one-half day each week and takes place within the VA clinic system.

Year 2
Year 2 is divided into a six-month block on neurology, a three-month block on medicine, and another three-month block on neurology.

On neurology, residents spend four months on general neurology wards, two months learning neuroanatomy, one month in the neurology intensive care unit, one month on pediatric neurology, and one month of ambulatory neurology.

During the three months of medicine, the resident spends one month on ambulatory medicine, one month in the intensive care units at the VAMC or Methodist, and one month on the general medicine inpatient service at Wishard Hospital. The ambulatory block includes a core experience in geriatric assessment. Beginning in year 2 the resident supervises first year internal medicine trainees. Throughout this and all subsequent years, the resident continues to follow patients in continuity clinic on an every-other-week basis. On the in-between weeks, the residents sees patients in a neurology clinic. Vacation is taken during the neurology months.

Continuity clinic for this and succeeding years alternates each week between medicine and neurology.

Year 3
Year 3 is divided into a three-month medicine block, a six-month neurology block, and a three-month medicine block.

The medicine rotations include two months of inpatient general medicine, two months of subspecialty medicine, one month of geriatrics, and a one month elective on a consultation service. One of these months is spent on another cardiology rotation on either the inpatient service at University or Methodist Hospital or a consultation experience at one of the four adult hospitals.

The neurology rotations include two months each of psychiatry and general neurology wards and one month each of neuropathology and neuroradiology.

Vacation for this year is split between the medicine and neurology rotations.

Year 4
Year 4 is divided into a six-month block of neurology, a three-month block of medicine, and a three-month block of neurology.

The neurology experience during this year consists of performing neurology consultations for five months and EEG/EMG and general neurology wards for two months each.

The medicine months consist of an elective consultation rotation, an inpatient general medicine rotation at one of the three adult hospitals, and a rotation on a subspecialty inpatient service at University or Methodist Hospital.

Vacation for this year is taken during the neurology rotations.

Year 5
Year 5 is divided into a three-month block of medicine, a six-month block of neurology, and ends with another three-month block of medicine.

The medicine months includes one month in the emergency room, one month of critical care, one month of inpatient general medicine, one month of ambulatory medicine, one month of inpatient subspecialty medicine, and one month of electives. The critical care month is taken at Methodist or VA Hospital.

On neurology the resident spends two months in the clinics, two months on pediatric neurology, one month as a consultant and one month on an elective.

Vacation during this year is split between the medicine and neurology rotations.


We hope the information in this brief description provides a clear picture of our program. We believe we prepare trainees well for a combined practice in medicine and neurology or as a basis for additional training leading to investigative careers in either or both fields. Please do not hesitate to contact us for additional details, and please visit us to evaluate the program firsthand. You may call us at
Dr. Logio, Medicine : 317-656-4260
Dr. Fleck, Neurology: 317-962-5828

Research Track

In recognition of the importance of training physician scientists, the American Board of Internal Medicine established a research pathway to certification in 1997.

Internal medicine residents at Indiana University may participate in this pathway. The Department is well poised to support residents who desire a career in research. Our faculty are well funded, ranking among the top 10 - 20% of all academic departments of medicine in successfully competing for National Institutes of Health research funding. This pathway is intended for trainees with established experience in scientific discovery and research methodologies who seek academic careers as investigators in basic science or clinical research. The research pathway integrates training in clinical medicine with three years of training in basic or clinical research.

Early planning of this pathway is necessary. Training for this pathway is longer in duration than standard clinical training. Five years are required to complete the research pathway for general internal medicine and six or seven years for the subspecialties and/or added qualifications depending on the discipline.

The requirements for the research pathway are:

  • Two years of full-time clinical training in medicine
  • Three years of research training

During research training, at least 20% of each year must be spent in clinical experiences, including at least one half-day per week in a continuity clinic. Individuals choosing subspecialty training complete two rather than three years of internal medicine residency training, then they complete the subspecialty fellowship, including any additional research training required by it. Generally, residents should discuss their research interests with the Program Director and Vice-Chair for Research during the first year of residency.

Most individuals entering the Research Pathway choose to work in the laboratories of subspecialty physicians with a commitment by the subspecialty division, faculty and fellowship director to support the career path during specialty training including the clinical fellowship. The advantage over traditional fellowship training is the intensive research experience that makes participants much more competitive for career development grants and more attractive for faculty positions. It is possible to earn a Ph.D. while in this pathway. We will help residents find outstanding laboratories in which to train, as well as advise them in their academic development.

Currently, five residents are in various stages of training in this pathway, two in cardiology, two in hematology/oncology, and one in gastroenterology.

Preliminary Medicine

The Department of Medicine has partnered with other training programs on campus to accommodate their PGY-1 residents for the preliminary internal medicine internship prerequisite.

We do not have a stand-alone preliminary program with a unique program identifier for applications and acceptance.

The select few preliminary residents are interviewed and matched through the categorical programs in neurology, dermatology, anesthesiology, radiology, physical medicine and rehabilitation, and radiation oncology. The schedule of rotations is defined by the requirements of the primary departments.

Transitional Training

The Indiana University School of Medicine sponsors a Transitional Year Residency Program, which is primarily based at Clarian Methodist Hospital.

Twelve positions are available and applications should be made through the ERAS (Electronic Residency Application Service). The Transitional Year program is supported by the Specialty Residency Programs of Anesthesiology, Dermatology, Neurology, Ophthalmology, Physical and Rehabilitation Medicine, Radiation Oncology and Radiology, all of which require a prerequisite clinical year prior to entry. We work with each of these Specialty Programs to tailor the academic experience of each transitional resident.

Applicants who are undecided about a career choice should consider the Transitional Year Program as an avenue to selecting further residency training in any specialty. Transitional year requirements include six months of fundamental clinical skills, one month of Emergency Medicine, and up to five months of electives. The six months of fundamental clinical skills can be taken in Internal Medicine, Pediatrics, Emergency Medicine, Obstetrics and Gynecology, Surgery, or Family Medicine. The elective rotations encompass any rotation offered in the Clarian Health System (Methodist, Riley Children's, Indiana University), or Veterans Administration and Wishard hospitals. The electives offer flexibility of inpatient or outpatient settings, research, out-of-state or -country rotations, with the clinical experience tailored to the resident's needs. We offer special electives in Orbital Dissection and Microvascular Surgery for all ophthalmology-bound trainees and up to three months of radiology electives for the radiology bound trainees. Didactics are available from any department in the School and include conferences emphasizing fundamental clinical skills covered on USMLE Part 3, monthly journal club, and book club.

Click here for more information about this program, or contact Dr. John Black

  • E-mail:

  • By regular mail:
    • Clarian Methodist Hospital
    • P.O. Box 1367
    • Indianapolis, IN 46206-1367

  • By phone:
    • ☎ : (317) 929-8881