Med-Peds residents receive additional educational sessions, providing advanced knowledge and skills in specific domains.

Abolition Medicine and Mass Incarceration
Through a longitudinal curriculum and clinical experience, residents learn the impact of mass incarceration on individuals, communities, and populations, and will learn the unique challenges and opportunities to improve health by providing care to individuals living in and transitioning out of the prison and jail system. Second-year residents spend time during each ambulatory care session with a clinical mentor at Riker’s Island and carry a panel of patients throughout the year. A workshop and self-reading curriculum helps residents explore their role as physicians in combating mass incarceration and the prison-industrial complex to improve the health of our communities.

Anti-Racist Clinical Skills and Liberation Medicine
Through a longitudinal, anti-racist clinical skills curriculum, residents learn to identify and challenge racism and other forms of oppression at the individual and structural levels. This includes deconstructing scientific racism, mitigating the impact of racism and bias on patient outcomes, and navigating biased patient behavior. We teach anti-racist clinical skills and liberation medicine in partnership with our local communities, through a series of discrete workshops and by infusing this method throughout our program, from design and recruitment to individual patient encounters.

Caring for People Who Use Drugs
Via training in the longitudinal substance use curriculum and clinical work, residents will have the opportunity to learn the fundamentals of caring for persons who use drugs, including those with opioid use disorder. This includes didactics and supervised patient care experiences in how to provide primary care-based buprenorphine treatment and strategies to help patients optimize safety and mitigate risk within a harm reduction model.

Global Health
All residents in our program participate in a longitudinal global health curriculum that explores current topics in global health through a decolonizing lens. Partnering with the Arnhold Institute for Global Health and the Departments of Medicine and Pediatrics, Med-Peds residents can apply for funded, protected time to engage in meaningful, collaborative global health work at our partner sites, including Nepal and Kenya.

Home Visits
Residents participate in a home visits panel in which all residents carry and manage adult and pediatric patients for whom they provide care at home. Supported by our Mount Sinai at Home Program, our Pediatric Visiting Doctors and Complex Care Program, and a Back to Bedside grant, residents care for a unique panel of patients, including homebound elderly patients and patients with complex neuromuscular, genetic, metabolic, and cardiopulmonary conditions. By bringing care to these patients, residents learn how to reduce inequities in patients with extreme medical complexity through patient-centered, team-based care, and by addressing systems of oppression, which often produce and perpetuate these inequities.

Homeless Medicine Program
Access to stable and safe housing is a major driver of health. Our Homeless Medicine Program provides residents with educational and clinical experiences in caring for people of all ages experiencing homelessness in a variety of clinical settings, including the shelter system, street medicine, inpatient and outpatient settings, and in local school-based health clinics. Dedicated sessions occur each week during year one, and ongoing experiences are integrated into the four-year program.

Additionally, our residency program and Settlement Health, a community health center in East Harlem, have partnered with a local public school, PS 38, to improve the health of local families of school-age children experiencing homelessness. Each year, 30-40 percent of children attending PS 38 experience homelessness. Residents work with a Mount Sinai school-based health center to provide primary care to children who attend PS 38, as well as access to Settlement Health for their families, many of whom are uninsured or undocumented. We also partner with a variety of community-based organizations to directly address the structural determinants of health impacting these families.

Human Rights Program
Through our Human Rights Program, residents develop the knowledge and skills needed to provide effective care for refugees and individuals seeking asylum. In partnership with the Mount Sinai Human Rights Program, we conduct pro bono, trauma-informed forensic evaluations and prepare medical-legal affidavits for individuals seeking asylum. This program includes a combination of self-directed learning, didactic sessions, and longitudinally integrated clinical experiences. Refugees coming to obtain medical-legal affidavits from the Mount Sinai Human Rights Program often use this program as their gateway into U.S. health care. Residents use their skills to provide trauma-informed care for refugees seen at Settlement Health.

Transgender and Gender Diverse Medicine

We provide a transgender medicine curriculum and clinical rotations in which residents will learn the fundamentals of care for transgender and gender diverse patients through a longitudinal curriculum and a rotation at Mount Sinai’s Center for Transgender Medicine and Surgery. Residents will have opportunities for additional clinical training in caring for adolescent transgender and gender diverse patients through the Adolescent Health Center, and by providing gender-affirming care at our primary care practice.

We are proud of our unique clinical and educational curricula that build the necessary skills to provide care to patients of all ages with complex medical conditions within the context of sociopolitical and structural drivers of inequities.

In keeping with our program’s community and patient-centered approach to resident education, this curriculum is developed and grown in collaboration with our community partners. We believe that primary care should be delivered when, and where, it is needed for each patient. For many patients this means in their home, their school, in temporary housing or on the street, or within the prison and jail system. Through this innovative model, residents learn how to reduce inequities in patients with extreme medical complexity through patient-centered, team-based care, and by addressing the systems of oppression, which often produce and perpetuate these inequities.

Highlights of the continuity care structure include:

• A 6+2 block system (six weeks of categorical rotations + two weeks of primary care)
• Additional half or full days in clinic on all rotations other than inpatient medicine and Intensive Care Unit rotations
• Dedicated time for didactics, panel management, and population health

This ambulatory clinical experience is supplemented by a robust primary care educational curriculum, where Med-Peds residents will participate in:

• Academic half days with ambulatory medicine residents while on primary care blocks
• Academic half days with medicine primary care and categorical pediatric residents while on elective blocks
• Longitudinal Med-Peds conferences

We participate in the National Residency Matching Program (NRMP). Our NRMP number is 1490700C1. To apply, please submit the following:

• Personal statement reflecting your dedication to primary care and social justice
• Medical Student Performance Evaluation
• Transcript
• United States Medical Licensing Examination (USMLE) scores (Step One with application; Step Two, when available) or Comprehensive Osteopathic Medical Licensing Examination (COMLEX) scores
  • Please note that while required for your application, our selections committee is blinded to USMLE and COMLEX scores, and we do not use any score cut offs in our interview or rank list decisions.
• Three letters of recommendation (one letter should be from a medicine faculty member, one from a pediatrics faculty member, and one letter of your choice)

Please contact Latoya Fyffe at latoya.fyffe@mssm.edu with questions.