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Internal Medicine

Train in an award-winning education environment that received the 2016 Accreditation Council for Graduate Medical Education Baldwin Award, recognizing a respectful, supportive environment for medical education and patient care.

Gundersen's Internal Medicine residency program offers training in a state-of-the-art teaching Hospital and outstanding ABIM certification exam preparation with weekly board review sessions. You can learn to deliver high-quality patient care in a health system that values continuous improvement. Also included in the program is exceptional hospitalist training; a flexible ambulatory track for those interested in primary care; an extensive ambulatory specific didactic curriculum and dedicated ambulatory teaching staff; a cutting-edge point-of-care ultrasound curriculum and simulation center. We offer a very unique benefit with affordable, subsidized resident housing that is close to the medical center, extremely convenient and comfortable. The housing serves as a valuable 'wellness' feature for the residents, resulting in a supportive living community for our residents and their families. Support through caring, sharing and understanding. We also offer a generous food allowance.

As an Internal Medicine resident, you will obtain both the inpatient and outpatient experience needed to smoothly transition to independent internal medicine or hospitalist practice as a competent physician upon graduation. This program also emphasizes diversity of training. Each year, a number of our residents successfully obtain competitive fellowships. Over the past ten years, graduates have obtained fellowship positions in:

  • Cardiology
  • Pulmonary/critical care
  • Gastroenterology
  • Hematology/oncology
  • Endocrinology
  • Infectious disease
  • Palliative care
  • Geriatrics
  • Rheumatology

We offer individualized career counseling from both our highly experienced residency administrative personnel, as well as our institutional Recruiting Department.  We are the designated western campus of the University of Wisconsin School of Medicine and Public Health. We have University of Wisconsin medical students continuously rotating throughout our medical center. We also host many fourth-year students from around the United States for clerkships. 

General medicine, cardiology and ICU teams consist of an attending, a senior resident, two interns and one or two medical students, creating a familiar academic environment.

Since 1970, Gundersen Medical Foundation has prided itself in providing the very best internal medicine education and training. We offer a personalized curriculum to meet your educational goals. Our personable and dedicated staff physicians make your learning a priority, offering a blend of autonomy and supervision to enhance your education. Gundersen stresses a culture of mutual respect amongst all employees both in the clinical and educational environments.  This noteworthy characteristic served as the foundation of the ACGME Baldwin Award in 2016.

Gundersen has a long tradition of providing the highest quality graduate-level medical education. Your success as a physician is our goal as a program, and we work tirelessly to ensure excellence within our internal medicine program. We would love to hear any questions you have and would welcome you to visit our institution.

Benefits information

Research

Why do some people think that University-based programs are the best places to do residency? Will I be able to get a fellowship and do research?

The most frequently cited reasons for choosing a University-based program are the ability to secure a fellowship, and the opportunity to do valid research projects. While we can't speak for every community-based Internal Medicine program in the nation, this is definitely not the case at Gundersen Health System.

Our program is very strong in general internal medicine, traditionally between 30-40% of our graduates go on to fellowship. Most get their top fellowship choice. For example, some of our residents have gone on to fellowships at the Sloan Kettering Cancer Center, Dartmouth Medical School, the National Institutes of Health, Mayo Clinic, Massachusetts General Hospital, the University of Wisconsin, the University of Iowa, the Medical College of Wisconsin, Indiana University, the University of Minnesota, University of Nebraska and other fine medical centers.
Opportunities for clinical research abound at Gundersen! Our residents have published research in numerous medical journals. Many residents have presented at state and national meetings, and we have a tradition of doing extremely well at the annual American College of Physicians (ACP) Wisconsin Chapter resident competition. We have a full research support staff, including biostatisticians and media specialists, who are ready and willing to help you with your research project(s).  Staff physicians are more than willing to form mentoring relationships with you in areas of research.

A full listing of fellowship placement over the past fifteen years is available upon request.

Academics

Is your program academic enough?

Actually, this was one of the very things that attracted several of our current residents to our program. We strongly emphasize evidence-based and cost-effective medicine, basing our patient care decisions on a critical review of the literature. "Because we've always done it that way," is an unacceptable answer when asked for the proof behind a clinical decision. All of our conferences, staff teaching sessions, "curbside consults", and bedside teaching are done in this manner.

During the first year Research/Quality Improvement Rotation there is an "Evidence-Based Medicine" section to teach basic concepts as they relate to research and patient care. These principles quickly become incorporated into your medical decision-making process. We have 1-2 formal teaching conferences each day and every staff member in the hospital is involved in medical education at some level.

Boards Preparation

Will I be well prepared for boards?

We have had a longstanding board review curricula that helps us to achieve board exam excellence.  Our current 15 year ABIM certifying exam pass rate is 95%.

We have a weekly board review class for all of our residents. We use both MKSAP and MedStudy curricula and emphasize in detail the key points each resident needs to know to achieve board exam excellence. Test taking strategy is also reviewed in detail.

The Internal Medicine In-Training Examination is administered to internal medicine residents at each PGY level. The results of this examination are used as a baseline to judge their progress in residency training, as well as to fine-tune the resident's knowledge in preparation for the American Board of Internal Medicine Certifying Exam. The results from this examination are also used as an indicator for teaching staff in a continuing effort to modify the curricula, which ultimately enhances teaching.

Autonomy

Will I have enough autonomy?

Autonomy and supervision are two very important aspects of a residency program. At Gundersen, the staff provides an excellent blend of the two. Autonomy is given in a graded fashion according to each resident's ability. The staff do not micromanage and are always eager and willing to hear your impression and patient care plan.

By the second year of residency, most residents are able to have significant autonomy. The attending physician is always available in person or by phone if you have any questions. Thus, residents have appropriate responsibility and autonomy, but always with the best supervision.

Opportunities for Procedures

Will I have the opportunity to do enough procedures?

Close bedside supervision by staff working one-on-one with the resident, along with a wide variety of elective rotations enables mastery of a number of procedures. For example, a resident may choose to take Office Gynecology to learn endometrial biopsy technique and cervical polyp removal, or may take Office Procedures to learn to perform arthrocentesis and joint injections. There is also an elective Procedure Rotation available if a resident desires a large volume of a variety of procedures.  With the development of our Point-of-Care Ultrasound curriculum over the past couple of years, we anticipate a significant increase in the volume of bedside procedures available to our IM residents. 

Residents have the opportunity to master, or at least gain, significant experience with the following procedures:

  • Central venous line placement
  • Arterial line insertion
  • Endotracheal intubation
  • Mechanical ventilator management
  • Thoracentesis
  • Paracentesis
  • Lumbar puncture
  • Skin biopsy
  • Joint aspiration and injection

Critical Care Experience

How is your critical care experience?

Our ICU functions as a 'closed unit,' giving the residents on the ICU rotation valuable experience in caring for a wide range of critically ill patients with a myriad of problems.  We have an ICU rotation every year dedicated to intensive care medicine. As a result of the excellent training here in critical care, a number of previous residents have gone on to do a fellowship in pulmonary critical care.

Love + Medicine

Every day, Gundersen Health System staff deliver great medicine plus a little something extra—we call it Love + Medicine.

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