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Internal Medicine

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Overview

With over 1500 beds, Jackson Memorial Hospital is one of the largest in the country. It is the only county hospital for the citizens of Miami-Dade County, is the major teaching institution for University of Miami, is one of the nation’s busiest hospitals, and is continually ranked in U.S. News & World Report among the "Best Hospitals in America”.

The residents train at four principal institutions: Jackson Memorial Hospital, the Miami Veterans Affairs Medical Center, the University of Miami Hospital and Clinics, and University of Miami Hospital. By training in three very different sites, the residents are provided with wonderful and challenging clinical encounters and opportunities. This variety of experiences is a definitive element in becoming a confident, knowledgeable, compassionate, and resourceful internist.

The key role played by our residents in the care of patients is vital to their development into outstanding physicians. Many of the patients come to the hospital without an established diagnosis; therefore, our residents have meaningful input into diagnostic and therapeutic decision making. With guidance and teaching from a general medical and subspecialty faculty of extraordinarily high caliber, residents can achieve their fullest potential. We are proud of our inpatient general medicine and subspecialty experiences, as well as our rotations in intensive care and emergency medicine. As part of the ambulatory program, the resident has the opportunity to follow his or her continuity patients in a setting which offers quality teaching by faculty role models.
   
This program offers the depth and breadth of experience necessary to allow graduates to achieve their desired professional goals. This program has strived to provide a friendly, open and supportive environment that emphasizes academic excellence. A structured foundation in Internal Medicine with a core set of clinical experiences is balanced by the flexibility for our residents to individualize their training in subspecialty or primary care medicine, research, medical education, women’s health, and global medicine.

This program offers superb clinical training in an exciting multicultural environment.  In our residency program the differential diagnosis for “Fever and RUQ pain” will cover not only the usual (cholecystitis), but also liver abscesses, malaria, and the like due to our diverse and unique patient population. We are proud to offer you a chance to see a program bursting with innovation and opportunity – as seen in our new Evidenced-Based medicine Curriculum, Procedure Team, Women’s Health curriculum, Resident Research and Scholarly activity Program. Potential residents are invites to visit to appreciate the excitement, enthusiasm and pride that the institution shares in this residency program.

ACGME Accredited: Yes
Residents or Fellows per year: 38 Categorical / 12 Preliminary
Duration: 3 years
Postgraduate Training Required: No
U.S. Citizenship Required: No

Teaching Hospitals

  • Jackson Memorial Hospital
  • Miami Veteran’s Hospital
  • University of Miami Hospital
  • Sylvester Cancer Center

Residents/Fellows who have graduated our program in the last 10 years obtained faculty positions at:

  • University of Miami Leonard M. Miller School of Medicine
  • Mayo Clinic- Rochester
  • John Hopkins University
  • Cornell University
  • National Institute of Health
  • Yale University
  • Emory College
  • Duke University
  • Baylor University
  • Moffitt Cancer Center

 

Application Deadline
Applications are accepted via Electronic Residency Application Service (ERAS).

Interview Dates

  • November 12, 13, 19, 20, 2015
  • December 3, 4, 11, 17, 18, 2015
  • January 7, 8, 14, 15, 2016

Interview requirements

  • USMLE requirements – We do not have a specific score requirement, but we usually use the National Internal Medicine USMLE averages as a benchmark. This information is available on the NRMP website in their reports section. Preference for interviews is given to those who pass all 3 exams on the first attempt.
  • U.S. Clinical experience is required, preferably three to six months
  • Visa sponsorship – The hospital sponsors J-1 visa only
  • Time since graduation: We have no specific requirement, but prefer less than five years
  • We require ECFMG certification before the rank list deadline

In the 2015-16 academic year, the JMH Internal Medicine Program is moving to a block scheduling curriculum with 4+2+2 format.  The program is divided into four firms. Each firm moves together. Four week blocks are reserved for inpatient wards, critical care and elective rotations. Two week blocks are reserved for night relief, emergency department, electives and vacation.  Each firm will also spend two weeks in the ambulatory setting which includes continuity clinic, longitudinal electives, quality improvement and panel management.

Board Exam Requirements
USMLE Step 1, 2, CS for entry.

Educational & Other Experience: Unique Experiences

Procedure team
In conjunction with the UM/JMH Center for Patient Safety, the Internal Medicine Residency training program has been piloting a novel patient safety and educational initiative: the Procedure Team. This monthly rotation enlists second year residents to participate in a two day instructional component, during which they learn invasive bedside procedures by a team of multi-disciplinary faculty in our UM-JMH Center for Patient Safety. The residents then spend 4 weeks as the hospital Procedure Team under the supervision of the faculty of the Center for Patient Safety.

Research
Residents in our program have a requirement for scholarly activity that includes opportunities traditional research as well as research dedicated to quality improvement.

RSAP
All residents participate in a formal research development curriculum entitled “Resident Scholarly Activity Program” or RSAP. This is a three phase curriculum aimed to improve the quality of the research projects pursued by the residents and increase the number of projects submitted for publication in peer reviewed journals.  The first phase of the curriculum starts in the first year with a series of lectures to facilitate identifying mentors, preparing an IRB proposal, and improving epidemiological and biostatistical knowledge. The second phase of the curriculum continues with research in progress meetings in the second year to assure research milestones and the quality of each project and the third phase is a formal presentation of the research methods and findings in the third year of residency.

The program was originally conceived and designed by a few members of our Department of Medicine Clinical Research Division and has grown a robust and active leadership team consisting of three directors and one administrative director and board members. The directors ensure the operational and executive functions of the program while the board provides the guidelines, milestones and vision for the program and its growth.

RSAP Home:  http://rsap.med.miami.edu/

Quality Improvement
Led by our Veterans Administration Chief Residents for Quality and Safety, our QI rotation is a four week rotation.  Residents spend four weeks on site at the VA with a structured curriculum and mentorship through the PDSA cycle.

The goals and objectives of the rotation are as follows: 

Goals

  • Learn the process of appraising, investigating, and evaluating the care of patients
  • Gain experience with the critical appraisal of quality improvement (QI) research and literature.
  • Participate in the education of patients, families, and health care professionals

Objectives 

  • Learn the process of quality improvement projects
  • Participate in the PDSA (plan, do, study, act) cycle, with a QI project or projects to be chosen in conjunction with your mentors (the QI chief residents)
  • Receive basic certification through the Institute for Healthcare Improvement

Call
Overnight call is limited to Critical Care rotations in Medicine

Phone: 305-585-5215
Fax: 305-585-8137
Email: internalmedicine@med.miami.edu

Stefanie Brown, M.D.
Program Director

Associate Program Directors

Jessica Figueroa, M.D.
VA Ambulatory

Marco Ladino, M.D.
VA Inpatient

Joshua Lenchus, DO
JMH Inpatient

Erin Marcus, M.D.
JMH Ambulatory

Jessica Zuleta, M.D.
UMH Inpatient

Prospective Residents

Physicians Services / Housestaff Office
Jackson Memorial Hospital
East Tower Room 1004
1611 NW 12th Avenue, Miami, Florida 33136
Phone: 305-355-1122
Fax: 305-355-1123

Graduate Medical Education Office
Jackson Memorial Hospital
Institute 118B
1611 NW 12th Avenue, Miami, Florida 33136
Phone: 305-585-4310
Fax: 305-585-4309

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