Career Development - Internal Medicine

What Does Training Look Like?
Internal Medicine training lasts three years. There are several combined residencies, like internal medicine-peds (med-peds), med-neuro, med-psych, which last four or five years. From any of these, there are numerous options to specialize which will require additional fellowship training. This usually means two to three years' training after residency.
 
Subspecialties

Sub-specialties include adolescent medicine, advanced heart failure and transplant cardiology, allergy and immunology, cardiovascular disease, clinical cardiac electrophysiology, critical care medicine, endocrinology, diabetes and metabolism, gastroenterology, geriatric medicine, hematology, hospice and palliative medicine, hospital medicine, infectious disease, interventional cardiology, nephrology, oncology, pulmonary disease, rheumatology, sleep medicine, sports medicine, and transplant hepatology.

 
What Does a Typical Workday Look Like?
This varies widely. Clinic-based physicians generally work 8:00-6:00, with some coverage by phone on the weekends. Hospital-based physicians typically work a set schedule, like one week "on" in the hospital, followed by one week "off."
 
Important Qualities and Traits
Qualities recognized as important to internal medicine include:
  • Communication, communication, communication!
  • Strong teamwork and interpersonal skills
  • Critical thinking and problem solving
 
Shadowing Opportunities
All Tulane medical students will get some exposure to shadowing Internal Medicine faculty and residents in their Year 2 Clinical Diagnosis course. Additional shadowing can be discussed by contacting Dr. Kristin Bateman.
 
Research Opportunities
We have over 100 faculty in the department of medicine, and there are research opportunities available in most areas. One way to find out about research in the department and to make some contacts is to attend our research conference. These are held the 3rd Monday of the month at noon in the 7th floor library (room 7001) of the School of Medicine building.

 

Additionally, students may want to pursue research opportunities through the DeBakey Scholars Program. This program offers medical students the opportunity to pursue and complete a longitudinal, structured, closely supervised research experience culminating in a capstone presentation prior to graduation. For more information, contact Dr. Derek Pociask

 
Specialty Interest Group

The C. Thorpe Ray Society is dedicated to promoting the ideals and interests of the field of Internal Medicine through both social and academic functions. Participation in this organization provides students with additional opportunities to pursue an interest and increase knowledge in the field of Internal Medicine. Group functions also provide students with the opportunity to interact with the Internal Medicine faculty on an informal basis. The Society’s monthly academic meetings cover a broad range of topics that allow for learning and discussion of issues important to Internal Medicine. Through participation, students become more prepared for their clinical experiences in the field of Internal Medicine. The old tradition of the rorning report has taken on new form as part of the Society’s yearlong series of luncheons, round-table discussions, and increasingly, interactive problem solving sessions. Social events hosted by the C. Thorpe Ray Society include the Annual Wine & Cheese party and a Residency Match Panel. The Society also has the honor of presenting the Medicine Clerkship Award to the most outstanding student of each third year Medicine rotation.

 

 
Recommended T3 & T4 Coursework

There are no IM elective opportunities available for T3's, while they complete the core internal medicine clerkship. Within the clerkship, students will do two weeks of a subspecialty and will get to choose between cardiology, renal, gastroenterology, infectious disease, and hematology-oncology. As a T4 who is interested in applying to IM residency, an acting internship (AI) rotation in IM is strongly encouraged. Aside from this rotation, there are over 50 elective choices for internal medicine; choose any that appeal to you. Aside from the AI, elective choice will not affect residency application.

 

Specialty Statistics

Summary Statistics (from "Charting Outcomes in the Match 2022")

 

 

 

Matched 

Measure                                                                                           (n=2,962)                                                                                              

 

1.    Mean number of contiguous ranks

14.2

2.    Mean number of distinct specialties ranked

1.0

3.    Mean USMLE Step 1 score

237

4.    Mean USMLE Step 2 score

249

5.    Mean number of research experiences

3.6

6.    Mean number of abstracts, presentations, and publications

6.9

7.    Mean number of work experiences

3.3

8.    Mean number of volunteer experiences

7.7

9.    Percentage who are AOA members

16.0

10. Percentage who graduated from one of the 40 U.S. medical schools with the highest NIH funding

31.4

11. Percentage who have Ph.D. degree

4.7

12. Percentage who have another graduate degree

18.6

Note: Only U.S. MD seniors who gave consent to use their information in research are included.

Sources. NRMP Data Warehouse; Top 40 U.S. medical schools with the highest NIH funding in measure 10 is from the NIH website (http://report.nih.gov/award/index.cfm).

Special Considerations When Applying for Residency

There are no special considerations when applying to this residency.

Important Advice

Applying to Internal Medicine is generally not competitive, provided you apply to a range of programs.

Try to develop a working relationship with one or more IM faculty who can give you feedback on various parts of your ERAS application, including your personal statement and places to apply.

 

Where Past Tulane Students Have Matched

U Southern California LOS ANGELES CA 2020
LSU SOM‐New Orleans‐LA NEW ORLEANS LA 2020
Cambridge Health Alliance‐MA CAMBRIDGE MA 2020
U Texas Southwestern Med Sch‐Dallas DALLAS TX 2020
Tulane Univ SOM‐LA NEW ORLEANS LA 2020
NYU Grossman School Of Medicine‐NY NEW YORK NY 2020
St Louis Univ SOM‐MO ST LOUIS MO 2020
Boston Univ Med Ctr‐MA BOSTON MA 2020
Henry Ford Hospital‐MI DETROIT MI 2020
NYU Grossman School Of Medicine‐NY NEW YORK NY 2020
Cleveland Clinic Fdn‐OH CLEVELAND OH 2020
Temple Univ Hosp‐PA PHILADELPHIA PA 2020
Johns Hopkins/Bayview‐MD BALTIMORE MD 2020
Rhode Island Hosp/Brown Univ PROVIDENCE RI 2020
Montefiore Med Ctr/Einstein‐NY BRONX NY 2020
Baylor Coll Med‐Houston‐TX HOUSTON TX 2020
U Maryland Med Ctr BALTIMORE MD 2020
NYP Hosp‐Weill Cornell Med Ctr‐NY NEW YORK NY 2020
Temple Univ Hosp‐PA PHILADELPHIA PA 2020
Tulane Univ SOM‐LA NEW ORLEANS LA 2020
Icahn SOM at Mount Sinai‐NY NEW YORK NY 2020
Wake Forest Baptist Med Ctr‐NC WINSTON‐SALEM NC 2020
NYP Hosp‐Weill Cornell Med Ctr‐NY NEW YORK NY 2020
Tufts Medical Center‐MA BOSTON MA 2020
SAUSHEC SAN ANTONIO CA 2020
Northwestern McGaw/NMH/VA‐IL CHICAGO IL 2020
Tulane Univ SOM‐LA NEW ORLEANS LA 2020
Cedars‐Sinai Med Ctr‐CA LOS ANGELES CA 2020
LSU SOM‐New Orleans‐LA NEW ORLEANS LA 2020
U Maryland Med Ctr BALTIMORE MD 2020
U Texas Med Sch‐Houston HOUSTON TX 2020
UC Davis Med Ctr‐CA SACRAMENTO CA 2020
Ochsner Clinic Foundation‐LA NEW ORLEANS LA 2020
Montefiore‐New   Rochelle/Einstein‐NY NEW ROCHELLE NY 2020
UC San Francisco‐CA SAN FRANCISCO CA 2020
Mayo Clinic School of Grad Med Educ‐FL JACKSONVILLE FL 2020
B I Deaconess Med Ctr‐MA BOSTON MA 2020
U Maryland Med Ctr BALTIMORE MD 2020
U Minnesota Med School MINNEAPOLIS MN 2020
U Texas Med Branch‐Galveston GALVESTON TX 2020
Olive View‐UCLA Med Ctr‐CA SYLMAR CA 2020
UCLA Med Ctr‐CA LOS ANGELES CA 2020
Tulane Univ SOM‐LA NEW ORLEANS LA 2020
Tulane Univ SOM‐LA NEW ORLEANS LA 2020
Baylor Coll Med‐Houston‐TX HOUSTON TX 2020
Massachusetts Gen Hosp BOSTON MA 2020
Tulane Univ SOM‐LA NEW ORLEANS LA 2020
NYP Hosp‐Weill Cornell Med Ctr‐NY NEW YORK NY 2020
Zucker SOM-Northwell NS/LIJ-NY GREAT NECK NY 2021
U Miami/Jackson Health System-FL MIAMI FL 2021
U South Alabama Hospitals MOBILE AL 2021
Brown Univ/Rhode Island Hosp PROVIDENCE RI 2021
Tulane Univ SOM-LA NEW ORLEANS LA 2021
Penn State Hershey Med Ctr-PA HERSHEY PA 2021
Univ of Chicago Med Ctr-IL CHICAGO IL 2021
UC Irvine Med Ctr-CA ORANGE CA 2021
Alameda Health Sys-Highland Hosp-CA OAKLAND CA 2021
UT Ascension St Thomas-TN NASHVILLE TN 2021
Unity Health     2021
Emory Univ SOM-GA ATLANTA GA 2021
Scripps Clinic/Green Hospital-CA LA JOLLA CA 2021
Emory Univ SOM-GA ATLANTA GA 2021
Brown Univ/Rhode Island Hosp PROVIDENCE RI 2021
NYU Grossman School Of Medicine-NY NEW YORK NY 2021
U Washington Affil Hosps SEATTLE WA 2021
Brown Univ/Rhode Island Hosp PROVIDENCE RI 2021
Tulane Univ SOM-LA NEW ORLEANS LA 2021
UC San Diego Med Ctr-CA SAN DIEGO CA 2021
CA Pacific Med Center SAN FRANCISCO CA 2021
Tulane Univ SOM-LA NEW ORLEANS LA 2021
Boston Univ Med Ctr-MA BOSTON MA 2021
Kaiser Permanente-Oakland-CA OAKLAND CA 2021
MedStar Georgetown Univ Hosp-DC WASHINGTON DC 2021
UC Irvine Med Ctr-CA ORANGE CA 2021
Ohio State University Med Ctr COLUMBUS OH 2021
Tulane Univ SOM-LA NEW ORLEANS LA 2021
Tulane Univ SOM-LA NEW ORLEANS LA 2021
B I Deaconess Med Ctr-MA BOSTON MA 2021
Tulane Univ SOM-LA NEW ORLEANS LA 2021
Brown Univ/Rhode Island Hosp PROVIDENCE RI 2021
Tulane Univ SOM-LA NEW ORLEANS LA 2021
NYP Hosp-Columbia Univ Med Ctr-NY NEW YORK NY 2021
Hosp of the Univ of PA PHILADELPHIA PA 2021
Duke Univ Med Ctr-NC DURHAM NC 2021
Emory Univ SOM-GA ATLANTA GA 2021
Univ of Chicago Med Ctr-IL CHICAGO IL 2021
LSUHSC     2021
Kaiser Permanente-Oakland-CA OAKLAND CA 2021
UC San Diego Med Ctr-CA SAN DIEGO CA 2021
Ohio State University Med Ctr COLUMBUS OH 2021
Emory Univ SOM-GA ATLANTA GA 2021
UC Irvine Med Ctr-CA ORANGE CA 2021
U North Carolina Hospitals CHAPEL HILL NC 2021
University of Utah Health SALT LAKE CITY UT 2021
UCLA Med Ctr-CA LOS ANGELES CA 2021
Vanderbilt Univ Med Ctr-TN NASHVILLE TN 2021
Dartmouth-Hitchcock Med Ctr-NH LEBANON NH 2021
Duke Univ Med Ctr-NC DURHAM NC 2022
U Texas at Austin Dell Medical School AUSTIN TX 2022
Rush University Med Ctr-IL CHICAGO IL 2022
Johns Hopkins Hosp-MD BALTIMORE MD 2022
NYU Grossman School Of Medicine-NY NEW YORK NY 2022
Penn State Hershey Med Ctr-PA HERSHEY PA 2022
Yale-New Haven Hosp-CT NEW HAVEN CT 2022
George Washington Univ-DC WASHINGTON DC 2022
Emory Univ SOM-GA ATLANTA GA 2022
U New Mexico SOM ALBUQUERQUE NM 2022
U Arizona COM-Phoenix PHOENIX AZ 2022
UC San Diego Med Ctr-CA SAN DIEGO CA 2022
Vanderbilt Univ Med Ctr-TN NASHVILLE TN 2022
Tulane Univ SOM-LA NEW ORLEANS LA 2022
U Texas Med Sch-Houston HOUSTON TX 2022
Montefiore Med Ctr/Einstein-NY BRONX NY 2022
Indiana University SOM INDIANAPOLIS IN 2022
Yale-New Haven Hosp-CT NEW HAVEN CT 2022
ISMMS Mount Sinai Morningside-West-NY NEW YORK NY 2022
Massachusetts Gen Hosp BOSTON MA 2022
U Maryland Mercy Med Ctr BALTIMORE MD 2022
Rush University Med Ctr-IL CHICAGO IL 2022
Montefiore Med Ctr/Einstein-NY BRONX NY 2022
U Rochester/Strong Memorial-NY ROCHESTER NY 2022
U Texas Med Sch-Houston HOUSTON TX 2022
U South Alabama Hospitals MOBILE AL 2022
Ochsner Clinic Foundation-LA NEW ORLEANS LA 2022
UCLA Med Ctr-CA LOS ANGELES CA 2022
LSU SOM-Baton Rouge-LA BATON ROUGE LA 2022
U Tennessee Health Sci Ctr-Memphis MEMPHIS TN 2022
Duke Univ Med Ctr-NC DURHAM NC 2022
MedStar Union Memorial Hosp-MD BALTIMORE MD 2022
St Lukes Hosp-Bethlehem-PA BETHLEHEM PA 2022
U Arizona COM-Tucson TUCSON AZ 2022
Johns Hopkins Hosp-MD BALTIMORE MD 2022
LSU SOM-New Orleans-LA NEW ORLEANS LA 2022
Tulane Univ SOM-LA NEW ORLEANS LA 2022
Tulane Univ SOM-LA NEW ORLEANS LA 2022
U Southern California LOS ANGELES CA 2022
U Colorado SOM-Denver AURORA CO 2022
U Colorado SOM-Denver AURORA CO 2022
Wake Forest Baptist Med Ctr-NC WINSTON-SALEM NC 2023
Emory Univ SOM-GA ATLANTA GA 2023
NYU Grossman School Of Medicine-NY NEW YORK NY 2023
Kirk Kerkorian SOM at UNLV-NV LAS VEGAS NV 2023
Emory Univ SOM-GA ATLANTA GA 2023
LSUHSC University Hosps & Clinics-LA LAFAYETTE LA 2023
U Miami/Jackson Health System-FL MIAMI FL 2023
Tulane Univ SOM-LA NEW ORLEANS LA 2023
Tulane Univ SOM-LA NEW ORLEANS LA 2023
Rush University Med Ctr-IL CHICAGO IL 2023
Emory Univ SOM-GA ATLANTA GA 2023
George Washington Univ-DC WASHINGTON DC 2023
Boston Univ Med Ctr-MA BOSTON MA 2023
ISMMS Mount Sinai Hospital-NY NEW YORK NY 2023
Harbor-UCLA Med Ctr-CA TORRANCE CA 2023
UCLA Med Ctr-CA LOS ANGELES CA 2023
U Tennessee Health Sci Ctr-Memphis MEMPHIS TN 2023
Montefiore Med Ctr/Einstein-NY BRONX NY 2023
UC Davis Med Ctr-CA SACRAMENTO CA 2023
UC San Diego Med Ctr-CA SAN DIEGO CA 2023
U Colorado SOM-Denver AURORA CO 2023
Massachusetts Gen Hosp BOSTON MA 2023
UMass Chan - Baystate-MA SPRINGFIELD MA 2023
U Colorado SOM-Denver AURORA CO 2024
Temple Univ Hosp-PA PHILADELPHIA PA 2024
CA Pacific Med Center SAN FRANCISCO CA 2024
Ochsner Clinic Foundation-LA NEW ORLEANS LA 2024
U Arizona COM-Phoenix PHOENIX AZ 2024
MedStar Georgetown Univ Hosp-DC WASHINGTON DC 2024
Tufts Medical Center-MA BOSTON MA 2024
MedStar Georgetown Univ Hosp-DC WASHINGTON DC 2024
NYP Hosp-Weill Cornell Med Ctr-NY NEW YORK NY 2024
Tulane Univ SOM-LA NEW ORLEANS LA 2024
U Washington Affil Hosps SEATTLE WA 2024
Emory Univ SOM-GA ATLANTA GA 2024
U Miami/Jackson Health System-FL MIAMI FL 2024
ISMMS Mount Sinai Morningside-West-NY NEW YORK NY 2024
Medical University of SC CHARLESTON SC 2024
Barnes-Jewish Hosp-MO ST LOUIS MO 2024
UMass Chan Medical School-MA WORCESTER MA 2024
Boston Univ Med Ctr-MA BOSTON MA 2024
Barnes-Jewish Hosp-MO ST LOUIS MO 2024
Kaiser Permanente-SF SAN FRANCISCO CA 2024
Johns Hopkins Hosp-MD BALTIMORE MD 2024
Johns Hopkins Hosp-MD BALTIMORE MD 2024
Temple Univ Hosp-PA PHILADELPHIA PA 2024
U New Mexico SOM ALBUQUERQUE NM 2024
UMass Chan Medical School-MA WORCESTER MA 2024
UC Davis Med Ctr-CA SACRAMENTO CA 2024
U Illinois COM-Chicago CHICAGO IL 2024
Methodist Hospital-Houston-TX THE WOODLANDS TX 2024
1
 
How Many Programs Should I  Apply To?
Most applicants apply to 27-54 programs.