Emergency Medicine/Internal Medicine Residency

Five-Year Residency

5-year residency leading to board certification in both specialties

Single site location at a Level 1 Trauma Center

Outstanding clinical training

Specialized tracks in Global Health, Ultrasound, Education, Quality, and Observation Medicine

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About the Program

Program Overview

Innovative, Single-Site Training for Emergency and Internal Medicine

The five-year Emergency Medicine/Internal Medicine Residency at HCMC offers residents unprecedented clinical training in emergency and internal medicine with a diverse patient population, all in a comprehensive academic healthcare system in downtown Minneapolis.

Launched in 2006, our innovative single-site program is one of only 12 combined EM/IM residencies in the country. It leverages our ACGME-recognized Internal Medicine Residency and our pioneering Emergency Medicine Residency into a single curriculum.

Our structured approach, with an orientation month followed by three-month immersion in each discipline, enables EM/IM residents to maximize their education in each department, while still progressing in responsibility with their categorical peers. EM/IM residents enjoy significant leadership responsibilities in both programs, including serving as Chief Residents in the final year.

Curriculum

About Our Curriculum

Training at HCMC means hands-on learning opportunities from day one, working side-by-side with experienced professionals in a collaborative environment. Our curriculum emphasizes the latest procedures and technology, including training in our Interdisciplinary Simulation and Education Center.

Most rotations are based at Hennepin County Medical Center, with select rotations at the University of Minnesota Children’s Hospital, Children’s Hospital of Minneapolis, Methodist Hospital, and North Memorial Medical Center. This structure allows residents to receive the benefits of a strong community at our primary site while facilitating experiences in the full range of emergency medicine and internal practice.

As an academic healthcare system, we also offer significant support for clinical research. HCMC maintains its own research foundation, and the design and execution of research projects by residents is well supported. Residents regularly present research at local and national events. EM/IM residents also facilitate a joint conference between HCMC’s Departments of Emergency Medicine and Internal Medicine several times each year to explore topics of common interest.

EM / IM / CC

Emergency Medicine / Internal Medicine / Critical Care

Approved in 2015, HCMC now offers a residency in Emergency Medicine / Internal Medicine / Critical Care Medicine. In this program, residents complete the requirements for training in both EM and IM, as well as a fellowship in critical care medicine, over 6 years. Residents graduating from this program will have outstanding skills in resuscitation, airway management, bedside ultrasound, ventilator management, advanced hemodynamic monitoring, and resuscitative procedures.

Residents may apply to enter this pathway at the beginning of their PGY-4 year, after completing 3 years of an EM/IM residency program. Graduating medical students do not match directly into this program.

Faculty

About Our Faculty

Academic Leaders in All Subspecialties

Our residents train with nearly 150 full-time faculty in the combined Emergency Medicine/Internal Medicine Residency, including professionals in all subspecialties of Internal Medicine.

These physicians are both academic leaders, outstanding clinicians, and research professionals. Most hold faculty positions at the University of Minnesota Medical School in addition to their leadership and teaching roles at HCMC. All are dedicated to helping train some of the best medical professionals in the country.

EM/IM and EM/IM/CC Program Director

Thank you for taking the time to learn about our program. Being the program director for the EM/IM and EM/IM/CC Residencies at HCMC is a tremendous honor.I trained in EM/IM at HCMC myself and in my current role, I have the opportunity to utilize my combined training and practice to create the best possible educational environment for our residents. Our combined residents are curious, motivated, and service-oriented. It’s a pleasure to mentor them during their time as residents and watch them go on to amazing things as graduates of our program. – Nathaniel L. Scott, MD

nathaniel scott, mdNathaniel L. Scott, MD

Program Director, EM/IM and EM/IM/CC Residency programs
Email[email protected]
Phone: 612-873-3521

Categorical Program Leadership

  • Dr. Danielle HartProgram Director, Emergency Medicine Residency and Assistant Professor at the University of Minnesota.
  • Dr. Rosemary QuirkProgram Director, Internal Medicine Residency and Associate Professor at the University of Minnesota
Rotation Schedule

EM/IM Resident Rotations

PGY-1

Orientation comprises the first month of combined training and includes a mix of EM shifts, ambulatory IM experience, and Continuity Clinic. This structure enables PGY-1 residents to familiarize themselves with both departments and get to know senior residents and faculty in both programs.

A more relaxed orientation schedule in both departments facilitates attendance at IM’s morning report, noon conferences, the EM stabilization conference on Thursdays, and allows residents to meet colleagues in both disciplines.

During the rest of the PGY-1 year, EM/IM residents join their colleagues as interns on inpatient medicine service, including General Medicine, Cardiology, Renal, MICU, and off-service EM rotations, including Pediatrics, Trauma Surgery, and OB/GYN.

PGY-1 residents serve as primary medical providers in the Emergency Department, supervised by PGY-3 residents and faculty.

PGY-1 Rotations

  • Orientation
  • Emergency Medicine (3 blocks)
  • Pediatric EM
  • Surgery
  • Medical ICU
  • Geriatrics
  • Renal Medicine
  • Inpatient Medicine (2 blocks)
  • Toxicology / Ultrasound

PGY-2

The PGY-2 year offers additional responsibility in both programs.

In IM, combined residents serve as senior residents and manage inpatient teams, including supervising interns and medical students. There is no "resi-tern" or PGY-1.5 in our program; EM/IM combined residents progress in responsibility along with their categorical peers.

In EM, PGY-2 residents gain added responsibility for solo overnight shifts in the Emergency Department, with the opportunity to master ultrasound techniques and perform critical procedures in the stabilization room. EM/IM residents spend off-service PGY-2 rotations as senior residents, managing the Trauma Surgery team, and in experience with Toxicology, EMS (including ambulance and helicopter ride-alongs), and specialty clinics for oral surgery, dermatology, colorectal, and radiology.

PGY-2 Rotations

  • Rheumatology
  • Endocrinology
  • Infectious Diseases
  • Medical ICU
  • Inpatient Medicine (2 blocks)
  • Emergency Medicine (4 blocks)
  • Surgery
  • Hyperbaric Medicine / Neonatal ICU
  • Elective

PGY-3

During this challenging year, EM/IM residents transition to their new role as Emergency Department "pit boss." PGY-3 residents first complete two months of Neurosurgery training, focused on managing patients with critical head injuries in the SICU. Faculty also train PGY-3 residents in small group didactics for the acute management of critical illnesses, such as airway adjuncts, thoracotomy, and toxicology.

IM rotations include several subspecialty consult services such as Nephrology, Pulmonary, ID, and GI. The program includes six Selective months where residents can explore specialties in depth, undertake a clinical research project, explore our Pathways programs in Global Health or Primary Care, or improve procedural proficiency.

PGY-3 Rotations

  • HCMC Emergency Medicine (4 blocks)
  • Neurosurgery
  • North Memorial Emergency Medicine
  • Pulmonary
  • Medical ICU
  • Renal Medicine
  • Nephrology consults
  • Inpatient Medicine
  • Elective

PGY-4

IM rotations cover a mix of inpatient (MICU and general medical wards) and consults. These programs focus on supervised autonomy in clinical decision-making, as well as improving formal and informal teaching skills. Two additional selectives provide the opportunity for independent learning.

EM curriculum features continued leadership experience in the Emergency Department, including managing stabilization room cases. EM/IM residents gain a second month of dedicated Pediatrics training, which is unique to the combined program.

PGY-4 Rotations

  • Emergency Medicine (4 blocks)
  • Pediatric Emergency Medicine
  • Inpatient Medicine
  • Medical ICU
  • Neurology / Psychiatry
  • Gastroenterology
  • Hematology / Oncology
  • Elective (2 blocks)

PGY-5

During the PGY-5 year, both EM/IM residents serve as chief residents for the combined program. Responsibilities include developing the final schedule, assisting in program administration, assisting with recruiting and coordinating EM/IM conferences and didactics.

Clinical responsibilities include 5-6 months as EM "pit bosses," and a fifth month in the MICU on night float. PGY-5 residents may also work as hospitalists or intensivists at Methodist Hospital, a private, community hospital located just minutes from downtown in St. Louis Park. The PGY-5 year includes two selectives, scheduled back-to-back to facilitate an experience abroad or extended time for an academic project.

PGY-5 Rotations

  • Emergency Medicine (5 blocks)
  • Pediatric Emergency Medicine
  • Medical ICU
  • Inpatient Medicine
  • Cardiology consults
  • Quality Improvement / Patient Safety
  • Surgical / Medical ICU
  • Elective (2 blocks)
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Testimonials

“HCMC works tirelessly to serve the needs of its community. This community is my home, thus by extension, so is HCMC. ”

What Sets Us Apart?

Collegial learning environment. 

Our single-site program and academic culture promote collaboration and teamwork at all levels. Residents work side-by-side with fellows, faculty, and specialists from numerous disciplines, including more than 100 medical students who rotate at HCMC each month.

Hands-on clinical experience. 

Our residents take an early and active role in patient care and obtain decision-making roles quickly. Within the Emergency Department, EM/IM residents direct the initial stabilization of all critical patients, manage airway interventions, and oversee all critical care.

Meaningful continuity clinic experience.

EM/IM residents have continuity clinic together on Thursday afternoons with a dedicated preceptor.  This promotes educational that is tailored to the unique skills and abilities of EM/IM residents.

Integrated technology.

HCMC features state-of-the-art medical equipment and a completely paperless environment, with Level 7 implementation of the Epic electronic health record. Residents learn and utilize state-of-the-art tools as part of your daily routine.

Leadership opportunities.

From supervising medical students and other residents to directing patient care as "pit boss" in the Emergency Department, EM/IM residents take on substantial leadership responsibility. PGY-5 residents become chief residents in both programs.

Diverse case mix.

Few settings offer the range of patients and pathology available at HCMC. As the region’s safety net hospital and the state’s busiest emergency department, residents train in a high-volume setting and treat individuals of all ethnic and economic backgrounds

Applications Due November 1

Requirements

Your application must include:

  • Medical school transcripts
  • Dean’s letter
  • Minimum of two letters of recommendation
  • USMLE Step 1
  • Personal statement

Process

  1. Submission: Submit your application through the Electronic Resident Application System(ERAS) using AMA-FRIEDA. Contact your medical school’s student affairs or dean’s office for instructions. We do not accept applications through the mail. HCMC participates in the National Resident Match Program (NRMP).
  2. Scoring: Each applicant will be scored based on these criteria:
    • Board scores
    • Research
    • Medical school transcripts
    • Leadership Roles
    • Honors and accomplishments
    • Dean’s letter
    • Letters of recommendation
    • Personal statement
  3. Interviews: Applicants who meet a pre-determined score threshold will be invited for interviews. We will notify you via email regarding interviews. We hold interviews on one Monday in November, December, and January.

Contact

em/im mary hirschboeck

Mary Hirschboeck

Residency Coordinator
612-873-5645
[email protected]

Hennepin Healthcare
701 Park Avenue, Mail Code 825
Minneapolis MN 55415

em/im margaret miller

Margaret Miller

Residency Coordinator
612-873-4906
[email protected]

Hennepin Healthcare
701 Park Avenue, Mail Code 825
Minneapolis MN 55415

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