Thank you for your interest in the Penn State Hershey Internal Medicine Residency Training Program. I'd like to take a moment to introduce you to the training you will find with us.
Our goal is to provide a rigorous clinical education in all aspects of Internal Medicine, while balancing the acquisition of core knowledge with the ability to customize your educational experience. Our residents are integral members of the health care teams in general and subspecialty medicine, and provide comprehensive primary care services to the population of central Pennsylvania. A culture of professional accountability and collegiality is fostered in an environment that promotes individual growth and learning. Opportunities for scholarship in basic, translational, and clinical sciences, along with the availability of research in medical education, quality improvement, and healthcare epidemiology allow for a well-rounded experience that prepares residents for their future career endeavors, whether they are in fellowship, private practice, or hospitalist medicine. Our program has the reputation of training excellent internal medicine physicians, while continuity to be very successful in preparing those who choose to pursue subspecialty training or enter into academic medical positions following their residency training.
At Penn State Hershey, we have the advantage of being the primary quaternary referral center for the central Pennsylvania region. This broad base yields a range of diverse pathology, allowing you to see the common and not-so-common diseases all under one roof. Our institution provides comprehensive, interdisciplinary cancer care to central Pennsylvania via the Penn State Hershey Cancer Institute, Penn State Hershey Heart and Vascular Institute pioneered the total artificial heart in the late 70's and early 80's, and continues to be as the cutting edge of cardiovascular device development and implementation, with an active LVAD program, an adult ECMO program, and cutting edge EP program. As a resident you will rotate with faculty and fellows across a variety of subspecialty areas, allowing the opportunity to learn about and participate in direct patient care and research in these areas.
The depth and breadth of Internal Medicine continues to expand, almost exponentially. In order to best meet the demands that will be placed on residents in their eventual career, we support several dedicated "tracks" within our core residency to allow for customization of your training, to focus on fellowship placement, primary care, hospitalist medicine, or a clinician-scientist career. We offer a broad range of clinical and non-clinical opportunities to allow for the development of your career interests.
I encourage you to spend some time on our website to see how a Penn State Hershey education could meet your personal and professional goals. Don't hesitate to contact us if you desire further information about our training program.
Nicole A. Swallow, MD, FACP
Director, Internal Medicine Residency Training Program
I am delighted that you are considering our program for your residency training. These are exciting times, as we aspire to develop a model program with the philosophy of resident-centered learning. The program has been my second family long before I assumed the role of associate program director. It has been extremely gratifying to associate with an enthusiastic and capable group of young trainees with diverse backgrounds. I value my clinical role as a transplant nephrologist; yet, I see that role complete only when I share the experience with house staff. I am passionate about patient-oriented research; yet, research becomes so much more meaningful and gratifying when I mentor residents in their research, as I listen to them present their scholarly work at grand rounds, and as I see their progress towards their career goals. I cherish my clinical work and I appreciate the opportunity to be able to do research; however, what brings me to work early in the morning, every day, is the passion I have to learn and to teach.
Every day, at morning report, I benefit from the superb teaching provided by our chief residents and learn from the residents as they discuss their cases. The opportunities to teach while providing patient care and the opportunities to mentor trainees while performing research are highly valued by faculty members within the Program and the Department of Medicine.
Penn State Hershey is a special place with a culture of teamwork, where our residents' dedication to patient care and to each other is inspiring. This is complemented by enthusiastic and supportive faculty whose main mission is to train the next generation of internists.
Our residents receive excellent preparation for careers in primary care, hospital medicine or any of the subspecialties. During their training, they have opportunities to participate in pioneering research. The goal of our residency program is to provide mentoring to our trainees within a supportive environment, such that the challenges of residency transform to opportunities for growth. We consider each resident's success and the collective success of the program as inseparable. Throughout the years, each resident, through his/her unique background and perspective, has enriched our program.
I hope you will review the information on our website to learn more about a program that is committed to the training of the highest quality of residents.
Nasrollah Ghahramani, M.D., M.S., F.A.C.P.
Department of Medicine, Division of Nephrology
Associate Professor of Medicine and Public Health Sciences
Associate Director, Internal Medicine Residency Program
As of July 1st, 2013 our program has successfully implemented an ambulatory block schedule to take the place of traditional weekly clinic sessions.
Our ambulatory block system enables residents to provide longitudinal patient care, reduce the number of clinic sessions during busy inpatient rotations, while still meeting ACGME requirements for outpatient training. This has significantly increased our residents' satisfaction with ambulatory training.
During any two week ambulatory block, residents provide longitudinal care for their patients in our primary care clinic but also spend time in other subspecialty clinics, which allows them to experience the full spectrum of outpatient care and prepare for a career in primary care or any other subspecialty. Each ambulatory block has a general theme, based on the predominant area of outpatient medicine that it focuses on; for example the musculoskeletal block includes experience in sports medicine, podiatry and orthopedics. Other outpatient blocks have a focus on women's health, endocrinology, gastroenterology, cardiology, allergy and immunology, mental health etc. Our ambulatory curriculum also includes sessions in outpatient procedures, clinic for the underserved, palliative care clinic, adolescent weight management clinic and quality care review committee.
Any ambulatory block schedule also includes protected time for self-study, quality improvement projects, as well as half day per week dedicated to medical education (academic half day). Our academic half day features parts of our innovative curriculum in Evidence-Based Medicine (EBM modules and EBM consult) and the ACP High Value Cost Conscious curriculum. During the academic half day, residents engage in interactive, small group problem based learning and have the opportunity to assume the role of teachers for their peers.
Direct observation sessions (mini-CEX) and resident evaluations are integrated into the residents' outpatient clinic schedule, with specific time set aside, which ensures their completion.
Our longitudinal care clinic is a level III patient-centered medical home and is well supported by our experienced staff. Our residents treat patients with a wide variety of disorders, ranging from routine primary care and prevention to more complex and esoteric problems. Our residents also enjoy minimal patient no-show rate in their clinic, which allows them to quickly build and follow a patient panel.
Andreas Achilleos, M.D.
Associate Program Director (Ambulatory Medicine)
Poonam Mathur, DO (Nova Southeastern University College of Osteopathic Medicine):
Residency has been a rewarding experience, allowing me to develop into the physician that I had hoped I would become. Both my attendings and colleagues have served as role models, and I strive to learn from their best attributes. Similarly, I hope to be an example for my fellow residents. As a chief resident, I am looking forward to motivating and aiding my peers to discover their medical abilities and pursue their career interests. I will also endeavor to be a source of comfort and a resource during difficult times. I believe that with a collaborative effort, we can build on the foundation established by previous residents and realize our full potential. I am excited and honored to serve as a chief resident. It is truly a privilege, and I look forward to contributing towards the excellence of the program.
Michael Stefanski, MD (Ross University School of Medicine):
Residency is one of the most exciting and formative times in a physician's career. Our Internal Medicine residency program excels in providing a resident-centered learning environment focused on patient care and education. This is accomplished by immersing our residents in a diverse and complex patient population with the perfect balance of autonomy and supervision provided by our distinguished faculty. This philosophy continues to yield compassionate, confident and accomplished physicians.
I had the (good fortune and) opportunity to complete a combined residency in Internal Medicine and Pediatrics at Penn State Hershey, which was both challenging and very rewarding. My experiences in residency afforded me a unique perspective and invaluable experience, which I hope will strengthen my role as Chief Resident. I intend on continuing the esteemed tradition of our program by holding myself to the high standards set by my predecessors and focusing my efforts on clinical teaching and resident education. I am particularly excited to have the opportunity to participate in the continual development of our curriculum in an effort to optimize the resident experience.
I am honored to have the opportunity to work with our exceptional residents as a both a colleague, leader and mentor and look forward to working with Poonam and Jeff in contributing to the growth and education of our residents.
Jeffrey Yourshaw, MD (Penn State College of Medicine):
As a medical student I was unclear about my future profession. It was the Internal Medicine Chief Residents at the time who helped guide me and inspire me to pursue a residency in Internal Medicine. As a lifelong Penn Stater/Nittany Lion, I am honored to be chosen as a chief resident and to uphold the tradition. I look forward to continue learning, teaching, collaborating with other chiefs, and building on the strong foundation set before us at Penn State.