While the training program at the VCU Medical Center offers a number of tracks to fulfill the interests and career plans of our trainees, each individual, regardless of track, receives excellent training in internal medicine and, at the completion of residency, is eligible for the American Board of Internal Medicine examination.

Categorical Track

The categorical track is a traditional track in the internal medicine program designed for those individuals seeking a rigorous training course preparing them for careers in general adult internal medicine or any of its subspecialties.

All categorical residents will be asked to identify a training pathway in the winter of their intern year; this selection will be made based on individual resident career goals. Pathway selection allows for tailoring of the training curriculum to meet individual goals and needs. One to two months per year in the PGY-2 and PGY-3 years will differ in content based on the track selected. Pathway options will include:

  • Generalist pathway: Designed for those individuals preparing for a career as a practicing internist or in academic general internal medicine. This track offers increased exposure to an ambulatory setting experience through on-site ambulatory care blocks, the VCU faculty practice, the Fan Free Clinic (indigent-care free clinic) and community-based preceptorships. In addition, experiences in general medicine research opportunities will be available as will additional educational opportunities in performance improvement and the business aspects of medicine.
    • PGY2 year includes one-month community-based experience
    • PGY3 year includes one-month faculty practice experience
    • PGY2 and PGY3 year include additional longitudinal continuity clinic experience in a community-based practice
  • Hospitalist pathway: Designed for those pursuing careers in inpatient/hospitalist positions. This track emphasizes the inpatient management experience and will consist of clinical experience on our extensive hospitalist service, additional time as the medical admitting resident and the possibility of increased ICU experiences. In addition, trainees in this track will be offered educational experiences in health care delivery systems, business and management aspects of medicine, and performance improvement opportunities in order to better prepare them to become the hospitalists of tomorrow.
    • PGY2 year and PGY3 year include an additional month of hospitalist experience and training in performance-based improvement activities. Residents are also involved in longitudinal performance-based improvement activities.
    • See Hospitalist Track Blog website for additional details
  • Global Health & Health Disparities Pathway — offered for those individuals seeking training experiences that explore global health and health disparities. Residents will participate in an advanced global health and health disparities curriculum as well as a regular journal club. Residents who successfully complete this pathway will be awarded a Certificate in Global Health & Health Disparities.
    • Includes an international health experience at one of our partner sites in Honduras or the Dominican Republic during the PGY-2 year (2 weeks)
    • Research/QI block related to international health experience during PGY-2 & PGY-3 years (2 weeks/year)
    • International health experience at one of our partner sites in Honduras or the Dominican Republic during the PGY-3 year (2 weeks)
    • Additional ambulatory care clinic experience in resource-limited settings (such as the Fan Free Clinic and other settings) in PGY-2 & PGY-3 years
    • Participation in advanced curriculum and regular journal clubs focusing on global health and health disparities during PGY-2 & PGY-3 years
    • See Global Health & Health Disparities Program (GH2DP) website for additional details
  • Subspecialist pathway: Designed for those interested in pursuing subspecialty careers. The curriculum will emphasize exposure to research opportunities, subspecialty inpatient and outpatient electives, and additional ICU experiences.
    • PGY2 year includes one-month research experience (may be deferred to PGY3)
    • Additional research month in PGY3 year with approval of program director
  • Women’s health pathway: Offered for those individuals seeking traditional categorical medicine training with an emphasis on issues of unique significance to the health of women. This exposure is provided through opportunities at VCU’s community-based center, the Women’s Health Clinic at Stony Point. Focused educational experiences also are provided through ongoing experience in gynecology and mental health clinics, ambulatory blocks and special lecture series. The women’s health pathway residents attend an additional journal club per month in which they discuss articles specific to the training focus. To learn more about this track, visit the Women’s Health Pathway website.

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Combined Internal Medicine-Emergency Medicine Residency Training Program

VCU Medical Center, in partnership with the McGuire VAMC in Richmond will offer a combined five-year internal medicine-emergency medicine training for two residents per year, starting July 2010. This will be the 12th such program in the country. For more information about this program, visit the IM-EM website.

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Medicine Pediatrics Track

The Medicine Pediatrics Track is a four-year program integrating internal medicine and pediatrics, with excellent training in both fields through hospital and ambulatory experiences, leading to dual board eligibility and numerous career options. For more information about this track, visit the Med/Peds website.

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Preliminary Medicine Track

The preliminary medicine track is a one-year program designed to provide a clinically rich hospital-based training experience that will serve as the knowledge and skill base for those seeking a variety of medical specialties. The one-year curriculum is a modification of the PGY1 year in the categorical track.

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