Categorical Residency

After three years of training in Internal Medicine, our residents are fully prepared for any career in medicine they chose to pursue. Each year of training adds progressively more responsibility for both the care of patients and teaching less-experienced learners.

As a PGY1, you will be exposed to the breadth and depth of Internal Medicine. You will spend on average two months on the General Medicine floors, admitting both routine and unusual cases. You will begin to learn HIV medicine on our inpatient services for four weeks and Cardiology for another month. You will get the opportunity to fine-tune your neurology examination skills with two weeks on the neurology consult service. All interns have two weeks of electives in Endocrinology to obtain exposure to this subspecialty. Our interns develop skills in the care of critically ill patients in both the CCU and the Medical ICU. A month at Memorial Sloan Kettering Cancer Center (MSKCC) affords the opportunity to be exposed to quaternary-level cancer care.

A typical PGY1 Schedule is as follows:

PGY1

Weeks

Gen Med Floors

4-8

Specialty Floors

8-10

MSKCC

4

Elective/Research

2

Night Float

4-6

MICU

4-6

CCU

2-4

Ambulatory Care

12-14

Vacation

4

Consults

4


Our PGY2s gain more responsibility for patient care and supervision of their team on the General Medicine floors and subspecialty teams (HIV, Cardiology). Half of the class has an additional opportunity to rotate through MSKCC. One full month is spent in the ED and Critical Care units to build confidence in our residents to care for critically ill patients.

A typical PGY2 Schedule is as follows:

PGY2

Weeks

Gen Med Floors

6-10

Specialty Floors

4-8

MSKCC

4

ER

4

Selective

6

Elective/Research

6

MICU

4-8

CCU

2-8

Night Float

4

Ambulatory Care

12-14

Vacation

4


As a PGY3, the formative experience is the time spent as the screening consult resident who is the liaison for patients going to the ICU and the medical consult resident who provides consultation to other services in the hospital. Seniors also spend time on the floors and in the critical care units to consolidate their leadership skills. Time is allocated for you to customize your schedule based upon your particular career interests.

A typical PGY3 Schedule is as follows:

PGY3

Weeks

Gen Med Floors

 4-8

Specialty Floors

2-4

MICU

2-4

Selective

6-8

Elective/Research

8

ICU Screens

2-4

Medical Consult

2-4

Ambulatory Care

12-14

Vacation

4

During their two-week ambulatory blocks, categorical residents have the unique opportunity to serve as primary care providers for a panel of patients at one of three community-based centers.  These centers are part of the William F. Ryan Community Health Network, a Federally Qualified Health Center accredited by the Joint Commission and an NCQA Level 3 Patient-Centered Medical Home, which provides high quality care to vulnerable, under- and uninsured populations.  Additional time is spent in the outpatient subspecialty clinics, such as Cardiology, Gastroenterology, Nephrology, Pulmonary, Rheumatology and Endocrinology.

Complementing this extensive outpatient clinical exposure, we offer a rich, weekly academic half-day that includes seminars in core topics of primary care medicine, evidence-based medicine, and wellness sessions. Our PGY1 residents also have an additional academic half-day each block for Art and Practice sessions, which focus on equitable patient-centered care topics such as unconscious bias, social determinants of health and health literacy .  Woven throughout the block is our quality improvement curriculum which includes real-time, resident-driven project implementation, classroom didactics, and online certification modules.  Finally, it is during the ambulatory blocks that residents engage in Simulation Lab activities.  



The Internal Medicine Residency Program at Mount Sinai St. Luke’s-West recognizes the unique skillset required of primary care physicians to practice in our current healthcare landscape.  As such, we are thrilled to offer an innovative Primary Care Track for residents seeking to become experts in primary care medicine.  Through this track, residents gain enhanced exposure to topics beyond those typically covered in the traditional ambulatory block.  The track is fully integrated into our categorical program; Primary Care Track residents engage in the same rotations as their colleagues, including the Intensive Care Units, yet are provided increased elective time dedicated to primary care-related activities.  All primary care track residents will maintain a practice at the Ryan Adair Center in Central Harlem, located in a HRSA-designated medically underserved area, which will allow exposure to a diverse population with a multitude of complex diseases. 

The track is composed of clinical and non-clinical experiences as well as half-day didactic sessions during Primary Care elective blocks.  Educational sessions for residents in the track cover a broad array of topics introducing residents to the fundamentals of primary care medicine such as healthcare policy and practice models, population health, addiction medicine, physician communication skills, musculoskeletal exam skills, pearls of coding and billing, behavioral health integration, community oriented primary care, hands-on procedural sessions in the Simulation Lab, ethics, reflection rounds, cultural competency, and geriatric medicine.  All Primary Care Track residents are expected to develop a longitudinal project over the course of three years with protected project time allotted during each primary care block.

Our outstanding primary care faculty, who are committed to educating and mentoring the next generation of primary care physicians, bring to the table a broad range of clinical and academic interests. Through this track we aim to provide general skills training while supporting each resident in their particular area of interest within primary care.

Features of our Primary Care Track include:

  • Participation in an immersive community medicine rotation focused on caring for   urban, at- risk populations
  • Exposure to a multitude of primary care-relevant clinical opportunities
  • Clinical rotation at an HIV primary care faculty practice
  • Protected didactic sessions and workshops focused on primary care medicine topics
  • Home visits with the nationally renowned Visiting Doctors Program at Mount Sinai
  • Exposure to innovative practice models
  • Longitudinal project engagement with 1:1 faculty mentorship
  • Individually-tailored elective schedules as PGY2 and PGY3

The training schedule is as follows:

PGY1: (3 elective blocks) All PGY1’s in the track participate in a novel community medicine rotation focused on caring for at-risk populations near their outpatient clinic site in Central Harlem.  The rotation introduces residents to topics such as social determinants of health and health disparities, community-based organization partnerships, home visits, addiction medicine, immigrant health, and the impact of community on health outcomes.  In addition, PGY1’s in the track will have the opportunity to engage in a broad range of relevant clinical rotations including; family planning, musculoskeletal medicine, home visits, dermatology, primary care for patients with HIV, and exposure to innovative primary care practices.

PGY2: (3 elective blocks) PGY2’s in the track have the opportunity to participate in the sessions above in addition to crafting a more tailored schedule focused on their particular area of interest.  Additional independent study time is allotted to allow residents to develop a longitudinal project with a focus on one aspect of comprehensive care.  Such projects can include quality improvement initiatives, advocacy, and curriculum development and will be overseen by faculty mentors, with the goal of presenting the work to a broader academic audience.

PGY3: (4 elective blocks) PGY3’s in the track will devote time to independent projects and individually-tailored clinical experiences, as well as hone their leadership and teaching skills through Resident-as-Preceptor sessions in the outpatient resident clinics.  In addition, transition-to-practice didactics and career seminars will provide guidance toward life after residency.  PGY3’s will have the opportunity to lead some of the small group discussions for all PC Track residents centered on a topic of their choosing.

Applicants interested in the Primary Care Track should apply using our ERAS number.  For further questions, please contact the Primary Care Track Director, Dr. Tamara Goldberg at Tamara.Goldberg@mountsinai.org.

 

 

 

Olufunke Adeusi PGY3

I joined the internal medicine residency program at Mount Sinai St. Luke’s – West in July 2016.  My decision was based on the great impression I was left with after my interview. If I had to do it all over again I would still choose this residency program.  

The program leadership, chief residents, administrative staff and residents have all been very supportive both personally and professionally. It feels like a second family. My training experience so far has been in line with my expectations and has made be a better doctor. The diverse patient population served by both hospitals has provided me with a challenging yet rewarding learning experience. With each rotation my clinical skills and knowledge have improved.

Having the opportunity to live in NYC is definitely a bonus. So much to do and see. It has certainly contributed to my positive experience in residency.

Basera Sabharwal PGY3

Interviewing at MSSLW was an entirely unique experience. It had a sense of belonging in that everyone just fit in - starting from the interns all the way to the attendings. I wanted to be part of a program that not only graduates exceptional residents but also one that builds a family of physicians. My experience at MSSLW has been nothing but that. Being a resident has its tough moments, but when you have co-residents who consider you family and are willing to go the extra mile for you.. it makes those difficult times so much easier. The support from faculty, chief residents and co-residents makes this residency a memorable experience. The diversity of the program, rotating at two different hospitals with a bonus of Memorial Sloan Kettering adds to the incredible and varied pathology we see here. MSSLW also has a great balance of enhancing both clinical and research skills. And of course living in the heart of Manhattan has its very own benefits! If I had to do it all over again I would definitely choose this program.

Paul El Tomb PGY1

Internal Medicine residency applicants have a hard time selecting programs that appeal to their needs. It is pivotal to consider the potential for pursing a solid fellowship in selecting one’s residency program. Moreover, a program’s location is integral to one’s well-being and morale as these are formative years to your education and personal development. 
Mount Sinai Saint Luke’s West is a prestigious institution. It is part of one of the US’s biggest health systems, combining both academic, research and community work. With a dedicated and caring program director on one hand to a city that is educational just by virtue of living in it on another, this is the program to be in!
I do not regret for a day ranking the program as first on my list.