Internal Medicine Residency Program We offer four different types of positions: Three year Categorical Internal Medicine positions (18 each year) Three year Primary Care Internal Medicine positions (4 each year) Two year ABIM Research Pathway positions linked to University of Rochester fellowships (2 each year) 1 year Preliminary Internal Medicine positions (6 each year) We emphasize: patient and family-centered care and teaching careful collection of clinical data through bedside interview and physical examination exploring psychological and social contexts of health and illness clinical decisions based on evidence and grounded in high-quality, safe, and cost-effective patient care. Welcome from the Program Director Thank you for your interest in the Internal Medicine Residency programs at the University of Rochester-- we are extremely proud of them! Our residents learn by seeing a diverse patient population supported by outstanding faculty in an academically rigorous, collegial, and fun learning environment. Our residency has a number of unique strengths, including cutting-edge ambulatory training; a rich, collaborative research environment; and a tremendous group of residents. In addition, Rochester was recently ranked #1 of 306 communities for providing healthcare at the lowest cost per Medicare beneficiary, which helps our residents learn to practice very high value care. Our residents also benefit from the Rochester community itself, which is a wonderfully livable moderate-sized city offering a broad range of cultural and outdoor activities, including easy access to New York State's beautiful Finger Lakes region. We offer three-year positions in Categorical Internal Medicine, three-year Primary Care Medicine positions, two-year Categorical positions in the ABIM Research Pathway, and Preliminary Internal Medicine positions; each of these programs is described in detail in this website. With the Department of Pediatrics, we also share responsibility for the Combined Medicine-Pediatrics Program. Information regarding applying to any of these programs can be found on our Applicant Information Page. Explore this website to begin to learn about what makes Rochester truly unique. Please contact me if you have any questions. Alec B. O'Connor, MD,MPH If you visit Rochester you will find a program that blends: academic excellence exceptional bedside clinical teaching a supportive, collegial, and fun learning environment thoughtful innovations designed to meet the changing needs of future internists a wonderfully livable, low cost, moderate-sized city brimming with cultural activities and minutes away from a broad range of outdoor activities in New York's Finger Lakes region. For more information, please contact the Residency Program Office at 585-275-2874 Our Central Educational Goals Prepare highly qualified internists who will excel in their chosen career Promote compassionate and effective gathering of clinical information from patients and their families Instill enthusiasm for lifelong learning Teach ways to find, appraise, and apply new scientific knowledge Provide early, positive experiences in ambulatory general medicine, inpatient general medicine, subspecialty medicine, and scholarship Develop individualized educational plans based on each resident's evolving career objectives Achieving The Goals Because we believe residents learn best through direct responsibility in the care of patients, the central educational experience of our residency is the individual patient encounter. Learning occurs through ownership of patients and a balance between progressive responsibility and support. Our residents: Interview and examine patients in a wide variety of clinical settings Define each patient's clinical problems and health care needs With carefully balanced autonomy and supervision, develop plans for diagnosis and management with their patients We attend to the patient's illness, but also to the psychological and social context in which that illness occurs. After seeing patients, residents and faculty members work together to: Define knowledge gaps Fill knowledge gaps with the best available evidence from basic or clinical research Make patient care decisions based on science and on the knowledge gained from a pattern of lifelong, patient-centered learning The individual patient is the focus of our rounds and conferences, which often take place at the patient's bedside—a hallmark of a Rochester residency. We create an environment unencumbered by hierarchy, and we promote and expect participation of all learners in an academically rigorous discussion.