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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. Jessica DeBord (Foundations in Medicine course director), Dr. Jacey Jones (Clinical Diagnosis course director), or Dr. Chayan Chakraborti (Director of Student Programs).
 
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. Kenneth Mitchell.

 
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.

Contact:

Kavita Patwardhan

 

 
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 2020")

IM 

Matched

Unmatched

 

n = 3364

n = 89

1. Mean number of contiguous ranks

12.4

3.9

2. Mean number of distinct specialties ranked

1.0

1.3

3. Mean USMLE Step 1 score

235

218

4. Mean USMLE Step 2 score

248

230

5. Mean number of research experiences

3.3

3.0

6. Mean number of abstracts, presentations, publications

6.2

5.1

7. Mean number of work experiences

3.3

2.3

8. Mean number of volunteer experiences

7.3

5.8

9. Percentage who are AOA members

17.4

3.4

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

33.6

22.5

11. Percentage who have Ph.D. degree

4.7

7.2

12. Percentage who have another graduate degree

17.7

18.3

 

 

 

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





Alameda Health Sys-Highland Hosp-CA OAKLAND CA 2019
Alameda Health Sys-Highland Hosp-CA Oakland CA 2021
B I Deaconess Med Ctr-MA BOSTON MA 2018
B I Deaconess Med Ctr-MA BOSTON MA 2020
B I Deaconess Med Ctr-MA Boston MA 2021
Barnes-Jewish Hosp-MO ST LOUIS MO 2019
Baylor Coll Med-Houston-TX HOUSTON TX 2017
Baylor Coll Med-Houston-TX HOUSTON TX 2017
Baylor Coll Med-Houston-TX HOUSTON TX 2017
Baylor Coll Med-Houston-TX HOUSTON TX 2017
Baylor Coll Med-Houston-TX HOUSTON TX 2019
Baylor Coll Med-Houston-TX HOUSTON TX 2019
Baylor Coll Med-Houston-TX HOUSTON TX 2020
Baylor Coll Med-Houston-TX HOUSTON TX 2020
Baylor Coll Med-Houston-TX Houston TX 2021
Boston Univ Med Ctr-MA BOSTON MA 2020
Boston Univ Med Ctr-MA Boston MA 2021
Brown Univ/Rhode Island Hosp Providence RI 2021
Brown Univ/Rhode Island Hosp Providence RI 2021
Brown Univ/Rhode Island Hosp Providence RI 2021
Brown Univ/Rhode Island Hosp Providence RI 2021
CA Pacific Med Center SAN FRANCISCO CA 2017
CA Pacific Med Center San Francisco CA 2021
Cambridge Health Alliance-MA CAMBRIDGE MA 2017
Cambridge Health Alliance-MA CAMBRIDGE MA 2020
Cedars-Sinai Med Ctr-CA LOS ANGELES CA 2019
Cedars-Sinai Med Ctr-CA LOS ANGELES CA 2020
Christiana Care-DE NEWARK DE 2018
Cleveland Clinic Fdn-OH CLEVELAND OH 2020
CMSRU/Cooper University Hospital-NJ CAMDEN NJ 2017
Dartmouth-Hitchcock Med Ctr-NH Lebanon NH 2021
Duke Univ Med Ctr-NC Durham NC 2021
Emory Univ SOM-GA ATLANTA GA 2017
Emory Univ SOM-GA ATLANTA GA 2017
Emory Univ SOM-GA ATLANTA GA 2018
Emory Univ SOM-GA ATLANTA GA 2018
Emory Univ SOM-GA ATLANTA GA 2018
Emory Univ SOM-GA ATLANTA GA 2018
Emory Univ SOM-GA ATLANTA GA 2019
Emory Univ SOM-GA Atlanta GA 2021
Emory Univ SOM-GA Atlanta GA 2021
Emory Univ SOM-GA Atlanta GA 2021
Emory Univ SOM-GA Atlanta GA 2021
Greater Baltimore Med Ctr-MD BALTIMORE MD 2019
Henry Ford Hospital-MI DETROIT MI 2019
Henry Ford Hospital-MI DETROIT MI 2020
Hosp of the Univ of PA Philadelphia PA 2021
Howard Univ Hosp-DC WASHINGTON DC 2019
Icahn SOM at Mount Sinai-NY NEW YORK NY 2017
Icahn SOM at Mount Sinai-NY NEW YORK NY 2017
Icahn SOM at Mount Sinai-NY NEW YORK NY 2020
Icahn SOM Beth Israel-NY NEW YORK NY 2019
Jackson Memorial Hosp-FL MIAMI FL 2018
Jackson Memorial Hosp-FL MIAMI FL 2019
Johns Hopkins Hosp-MD BALTIMORE MD 2018
Johns Hopkins/Bayview-MD BALTIMORE MD 2017
Johns Hopkins/Bayview-MD BALTIMORE MD 2018
Johns Hopkins/Bayview-MD BALTIMORE MD 2020
Kaiser Permanente-Oakland-CA OAKLAND CA 2018
Kaiser Permanente-Oakland-CA OKLAND CA 2018
Kaiser Permanente-Oakland-CA Oakland CA 2021
Kaiser Permanente-Oakland-CA Oakland CA 2021
Kaiser Permanente-SF-CA SAN FRANCISCO CA 2017
Kaiser Permanente-SF-CA SAN FRANCISCO CA 2018
Kaiser Permanente-SF-CA SAN FRANCISCO CA 2019
Keesler AFB BILOXI MS 2018
Kettering Med Ctr-OH KETTERING OH 2017
Loyola Univ Med Ctr-IL MAYWOOD IL 2017
Loyola Univ Med Ctr-IL MAYWOOD IL 2017
Loyola Univ Med Ctr-IL MAYWOOD IL 2019
Loyola Univ Med Ctr-IL MAYWOOD IL 2019
LSU SOM-New Orleans-LA NEW ORLEANS LA 2019
LSU SOM-New Orleans-LA NEW ORLEANS LA 2020
LSU SOM-New Orleans-LA NEW ORLEANS LA 2020
LSUHSC University Hosps & Clinics-LA New Orleans LA 2021
Massachusetts Gen Hosp BOSTON MA 2018
Massachusetts Gen Hosp BOSTON MA 2017
Massachusetts Gen Hosp BOSTON MA 2019
Mayo Clinic School of Grad Med Educ-FL JACKSONVILLE FL 2020
Medical College of Georgia AUGUSTA GA 2020
Medical University of SC CHARLESTON SC 2017
MedStar Georgetown Univ Hosp-DC Washington DC 2021
Mercy Catholic Med Ctr-PA DARBY PA 2019
Montefiore Med Ctr/Einstein-NY BRONX NY 2017
Montefiore Med Ctr/Einstein-NY BRONX NY 2018
Montefiore Med Ctr/Einstein-NY BRONX NY 2018
Montefiore Med Ctr/Einstein-NY BRONX NY 2020
Montefiore-New Rochelle/Einstein-NY NEW ROCHELLE NY 2020
Morehouse Sch of Med-GA ATLANTA GA 2017
Naval Medical Center SAN DIEGO CA 2019
Naval Medical Center SAN DIEGO CA 2019
Naval Medical Center-San Diego SAN DIEGO CA 2017
Navy Medical Center-San Diego SAN DIEGO CA 2017
NYP Hosp-Columbia Univ Med Ctr-NY NEW YORK NY 2017
NYP Hosp-Columbia Univ Med Ctr-NY New York NY 2021
NYP Hosp-Weill Cornell Med Ctr-NY NEW YORK NY 2019
NYP Hosp-Weill Cornell Med Ctr-NY NEW YORK NY 2020
NYP Hosp-Weill Cornell Med Ctr-NY NEW YORK NY 2020
NYP Hosp-Weill Cornell Med Ctr-NY NEW YORK NY 2020
NYU Grossman School Of Medicine-NY NEW YORK NY 2020
NYU Grossman School Of Medicine-NY NEW YORK NY 2020
NYU Grossman School Of Medicine-NY New York NY 2021
NYU School Of Medicine NEW YORK NY 2018
Ochsner Clinic Foundation NEW ORLEANS LA 2018
Ochsner Clinic Foundation NEW ORLEANS LA 2018
Ochsner Clinic Foundation-LA NEW ORLEANS LA 2019
Ochsner Clinic Foundation-LA NEW ORLEANS LA 2020
Ohio State University Med Ctr COLUMBUS OH 2019
Ohio State University Med Ctr Columbus OH 2021
Ohio State University Med Ctr Columbus OH 2021
Olive View-UCLA Med Ctr-CA SYLMAR CA 2019
Olive View-UCLA Med Ctr-CA SYLMAR CA 2020
Oregon Health & Science Univ PORTLAND OR 2018
Oregon Health & Science Univ PORTLAND OR 2019
Penn State Hershey Med Ctr-PA Hershey PA 2021
Rhode Island Hosp/Brown Univ PROVIDENCE RI 2017
Rhode Island Hosp/Brown Univ PROVIDENCE RI 2020
SAUSHEC SAN ANTONIO TX 2020
Scripps Clinic/Green Hospital-CA La Jolla CA 2021
St Louis Univ SOM-MO ST LOUIS MO 2019
St Louis Univ SOM-MO ST LOUIS MO 2020
St Vincent Hosp Ctr-IN INDIANAPOLIS IN 2017
Summa Health/NEOMED ROOTSTOWN OH 2017
Temple Univ Hosp-PA PHILADELPHIA PA 2017
Temple Univ Hosp-PA PHILADELPHIA PA 2019
Temple Univ Hosp-PA PHILADELPHIA PA 2019
Temple Univ Hosp-PA PHILADELPHIA PA 2020
Temple Univ Hosp-PA PHILADELPHIA PA 2020
Thomas Jefferson Univ-PA PHILADELPHIA PA 2017
Thomas Jefferson Univ-PA PHILADELPHIA PA 2017
Thomas Jefferson Univ-PA PHILADELPHIA PA 2018
Tripler Army Medical Center TRIPLER AMC HI 2017
Tufts Medical Center-MA BOSTON MA 2017
Tufts Medical Center-MA BOSTON MA 2020
Tulane Univ SOM-LA NEW ORLEANS LA 2017
Tulane Univ SOM-LA NEW ORLEANS LA 2017
Tulane Univ SOM-LA NEW ORLEANS LA 2017
Tulane Univ SOM-LA NEW ORLEANS LA 2017
Tulane Univ SOM-LA NEW ORLEANS LA 2017
Tulane Univ SOM-LA NEW ORLEANS LA 2018
Tulane Univ SOM-LA NEW ORLEANS LA 2018
Tulane Univ SOM-LA NEW ORLEANS LA 2018
Tulane Univ SOM-LA NEW ORLEANS LA 2017
Tulane Univ SOM-LA NEW ORLEANS LA 2017
Tulane Univ SOM-LA NEW ORLEANS LA 2018
Tulane Univ SOM-LA NEW ORLEANS LA 2019
Tulane Univ SOM-LA NEW ORLEANS LA 2019
Tulane Univ SOM-LA NEW ORLEANS LA 2019
Tulane Univ SOM-LA NEW ORLEANS LA 2019
Tulane Univ SOM-LA NEW ORLEANS LA 2019
Tulane Univ SOM-LA NEW ORLEANS LA 2019
Tulane Univ SOM-LA NEW ORLEANS LA 2019
Tulane Univ SOM-LA NEW ORLEANS LA 2019
Tulane Univ SOM-LA NEW ORLEANS LA 2020
Tulane Univ SOM-LA NEW ORLEANS LA 2020
Tulane Univ SOM-LA NEW ORLEANS LA 2020
Tulane Univ SOM-LA NEW ORLEANS LA 2020
Tulane Univ SOM-LA NEW ORLEANS LA 2020
Tulane Univ SOM-LA NEW ORLEANS LA 2020
Tulane Univ SOM-LA NEW ORLEANS LA 2020
Tulane Univ SOM-LA NEW ORLEANS LA 2020
Tulane Univ SOM-LA New Orleans LA 2021
Tulane Univ SOM-LA New Orleans LA 2021
Tulane Univ SOM-LA New Orleans LA 2021
Tulane Univ SOM-LA New Orleans LA 2021
Tulane Univ SOM-LA New Orleans LA 2021
Tulane Univ SOM-LA New Orleans LA 2021
Tulane Univ SOM-LA New Orleans LA 2021
Tulane Univ SOM-LA New Orleans LA 2021
U Alabama Med Ctr-Birmingham BIRMINGHAM AL 2017
U Arizona COM at Tucson TUCSON AZ 2019
U Colorado SOM-Denver AURORA CO 2017
U Colorado SOM-Denver AURORA CO 2019
U Connecticut School of Medicine FARMINGTON CT 2020
U Illinois COM-Chicago CHICAGO IL 2017
U Illinois COM-Chicago CHICAGO IL 2017
U Illinois COM-Chicago CHICAGO IL 2018
U Illinois COM-Chicago CHICAGO IL 2019
U Iowa Hosps and Clinics IOWA CITY IA 2018
U Iowa Hosps and Clinics IOWA CITY IA 2018
U Kansas SOM-Kansas City Kansas City KS 2021
U Kentucky Med Ctr LEXINGTON KY 2018
U Maryland Med Ctr BALTIMORE MD 2017
U Maryland Med Ctr BALTIMORE MD 2020
U Maryland Med Ctr BALTIMORE MD 2020
U Maryland Med Ctr BALTIMORE MD 2020
U Miami/Jackson Health System-FL Miami FL 2021
U Minnesota Med School MINNEAPOLIS MN 2020
U North Carolina Hospitals CHAPEL HILL NC 2018
U North Carolina Hospitals Chapel Hill NC 2021
U Southern California LOS ANGELES CA 2018
U Southern California LOS ANGELES CA 2018
U Southern California LOS ANGELES CA 2018
U Southern California LOS ANGELES CA 2020
U Tennessee COM-Memphis MEMPHIS TN 2018
U Texas Med Sch-Houston HOUSTON TX 2017
U Texas Med Sch-Houston HOUSTON TX 2020
U Texas Southwestern Med Sch-Dallas DALLAS TX 2017
U Texas Southwestern Med Sch-Dallas DALLAS TX 2019
U Texas Southwestern Med Sch-Dallas DALLAS TX 2020
U Washington Affil Hosps SEATTLE WA 2017
U Washington Affil Hosps SEATTLE WA 2019
U Washington Affil Hosps Seattle WA 2021
U Wisconsin Hospital and Clinics MADISON WI 2018
UC Davis Med Ctr-CA SACRAMENTO CA 2020
UC Irvine Med Ctr-CA Orange CA 2021
UC Irvine Med Ctr-CA Orange CA 2021
UC Irvine Med Ctr-CA Orange CA 2021
UC Riverside SOM-CA RIVERSIDE CA 2018
UC San Diego Med Ctr-CA SAN DIEGO CA 2018
UC San Diego Med Ctr-CA SAN DIEGO CA 2019
UC San Diego Med Ctr-CA SAN DIEGO CA 2019
UC San Diego Med Ctr-CA San Diego CA 2021
UC San Diego Med Ctr-CA San Diego CA 2021
UC San Francisco-CA SAN FRANCISCO CA 2018
UC San Francisco-CA SAN FRANCISCO CA 2019
UC San Francisco-CA SAN FRANCISCO CA 2019
UC San Francisco-CA SAN FRANCISCO CA 2020
UCLA Med Ctr-CA LOS ANGELES CA 2019
UCLA Med Ctr-CA LOS ANGELES CA 2020
UCLA Med Ctr-CA Los Angeles CA 2021
UCLA Medical Center-CA LOS ANGELES CA 2017
Unity Health-AR Searcy AR 2021
Univ of Chicago Med Ctr-IL Chicago IL 2021
Univ of Chicago Med Ctr-IL Chicago IL 2021
University Hospital & Clinics-LA LAFAYETTE LA 2017
University of Utah Health Salt Lake City UT 2021
University of Virginia CHARLOTTESVILLE VA 2018
University of Virginia CHARLOTTESVILLE VA 2018
University of Virginia CHARLOTTESVILLE VA 2019
UPMC Medical Education-PA PITTSBURGH PA 2017
UT Ascension St Thomas-TN Nashville TN 2021
UT St Thomas Hospitals-TN NASHVILLE TN 2019
Vanderbilt Univ Med Ctr-TN NASHVILLE TN 2018
Vanderbilt Univ Med Ctr-TN Nashville TN 2021
Wake Forest Baptist Med Ctr-NC WINSTON-SALEM NC 2020
Yale-New Haven Hosp-CT NEW HAVEN CT 2018
Zucker SOM-Northwell NS/LIJ-NY GREAT NECK NY 2019
Zucker SOM-Northwell NS/LIJ-NY Great Neck NY 2021

 

 
How Many Programs Should I  Apply To?

The most current data show that ranking 12 IM programs has ~95% match success rate; therefore, the goal should be to obtain about 12 interviews. This translates to ~25 "good fit" programs (even during the COVID year). We recommend you check out the AAMC's Apply Smart initiative through the Careers in Medicine website