Internal Medicine Residency
Tracks in Primary Care and Global Health
Excellent fellowship placement and ABIM exam pass rates
Clinical research opportunities
Team-based care, with inpatient geographic units and multidisciplinary rounds
Comprehensive bedside ultrasound curriculum
Innovative primary care models which address social determinants of health
Strong commitment to resident wellness
About Our Program
Hennepin Healthcare residents are the heart and soul of the hospital. They lead ward and consult teams, run codes, field urgent calls from nurses, drive quality improvement, promote innovation in education and healthcare delivery, and contribute to a mission of social justice.
Residents choose Hennepin for two main reasons: they learn by doing and want ownership over medical decisions early in training and are passionate about caring for those most in need – immigrants, victims of violence, racism and discrimination, and those afflicted by mental illness, substance use disorders and other diseases of poverty. Residents in our program play a critical role in our efforts to help vulnerable patients.
Hennepin faculty hold academic appointments at the University of Minnesota Medical School. Our curriculum includes large and small-group teaching, procedure and ultrasound training, simulation, online education and multidisciplinary quality improvement. Learning is hands-on, challenging and formative, with mentorship and support from peers, fellows, faculty, nurses, social workers, pharmacists and ancillary staff. Trainees work in a collegial environment, and learn a hard job as part of a mission-driven, caring community. Residents serve patients with complex medical problems and social determinants, and are able to build valuable skills in QI, ultrasound, procedures, research, population health and global health.
Hennepin Healthcare’s Level I Trauma Center and clinics serve the largest Medicaid population by payor mix in America, as well as patients with commercial insurance and Medicare. We care for diverse people, including members of the LGBTQ community, immigrants from many countries, people living in and beyond the borders of Hennepin County, and rural patients referred for management of traumatic injuries and complex acute and chronic illnesses.
About Our Curriculum
Research and Fellowships
Hennepin Healthcare’s residency is hands-on. Trainees have ownership over clinical decisions and work side-by-side with hospitalists, general internists and subspecialists. We believe in making learning meaningful and making it stick. Residents are part of a strong and unified community, but also able to assert their unique voices and pursue individualized goals.
We update and enhance our curriculum to provide the best possible training and patient outcomes. From 2005-2015, we were one of 21 internal medicine programs in the U.S. invited to join the Educational Innovations Project (EIP), an ACGME learning collaborative created to redesign ambulatory education. Our curriculum served as a model for other institutions. After the EIP we shifted focus to inpatient care, reorganized ward teams geographically, and began resident-led multidisciplinary rounds to improve the efficiency and quality of nurse-resident communication. These changes led to improved patient outcomes and became a model for other services.
Hennepin Healthcare has several primary fellowships, including a longstanding Critical Care program, Cardiology fellowship shared with Abbott Northwestern Hospital, Geriatrics and Informatics fellowships, and Nephrology fellowship shared with the Minneapolis VA Hospital.
In our clinically dynamic care environment, residents have opportunities to sit on quality and educational committees and contribute to decisions which affect their work. Many become interested in fellowships, and in advancing knowledge through research and QI projects, with access to broad resources in these areas.
- Interns have protected time to complete on-line Human Subjects Research training, and receive a formal introduction to the IRB
- Each intern is assigned a faculty advisor who may serve as a research mentor
- Our Vice Chief for Mentorship, Education and Scholarship, Dr. Mark Linzer, has office hours to help residents with abstract reviews, writing and scholarly needs
- One elective block per year can be used for research
- Our Analytic Center for Excellence provides database and statistical support for resident research projects
- Residents present at national conferences including ATS, ACR, AHA, ACC, ACG, SGIM, ACP, APDIM and others, with financial support from the program
- Residents seeking competitive fellowships take advantage of research opportunities, and are supported to present and publish their work
- The Hennepin Healthcare Research Foundation (HHRF) is Hennepin’s research arm, the third-largest nonprofit medical research organization in Minnesota, and in the top 10% of all institutions receiving NIH funding. HHRF focus areas are trauma and acute care, HIV and infectious disease, addiction and healthcare delivery.
- Hennepin Healthcare’s Nephrology division, in partnership with the Chronic Disease Research Group within HHRF, manages the nation’s solid organ transplant registry (Scientific Registry of Transplant Recipients, or SRTR) and end-stage renal disease database (United States Renal Data System, or USRDS), which provide a wealth of research opportunities
Dedicated faculty, active learning, and a dynamic curriculum
We offer diverse didactics using evidence-based educational methods. This includes a daily Morning Report case-based presentation, small group learning sessions on both inpatient and ambulatory topics, simulation and procedural training, and online learning modules.
Chief residents run interactive, case-based learning sessions focused on deductive reasoning in diagnosis, interpretation of physical exam and laboratory studies, and generation of a nuanced differential diagnosis.
- Emergencies in Medicine series occurs in summer after new interns arrive
- The noon hour is used during the academic year for case-based pulmonary and cardiology conferences, clinical Nephrology conferences, Grand Rounds, quarterly Morbidity and Mortality presentations, quarterly Schwartz Rounds and Ethics discussions, Department of Medicine research presentations, ambulatory conferences, resident-led CPC and Journal Club, and others
- Interns and senior residents have separate sessions, each group spends two hours together twice per month
- Clinical core curriculum topics, imaging and procedures, palliative care, evidence-based medicine, cost-conscious care, wellness and resiliency, simulation and code training are covered
Primary Care Curriculum, Continuity Clinic Immersion and Johns Hopkins Ambulatory Curriculum
- Primary Care Curriculum is a pre-clinic small group session led by general internist faculty. Interactive, case-based sessions focus on evidence-based management of common outpatient diseases and foster collaborative learning and teaching.
- All interns rotate through continuity clinic immersion one of the first three blocks of intern year, where they learn about the social determinants of health, ambulatory clinical topics and critical appraisal, meet their clinic patient panel and participate in wellness activities
- Interns complete Human Subjects Research training and meet Hennepin’s IRB staff during immersion, in preparation for doing research
- Residents have protected time to complete online Johns Hopkins Internal Medicine Ambulatory Curriculum modules during training
Simulation Center Activities
- Hennepin’s Interdisciplinary Simulation and Education Center is used for case-based teaching on code response, cardiovascular emergencies, ambulatory scenarios, central line placement and other procedural task training
- Residents can develop teaching skills through curriculum design and execution of simulation scenarios
Bedside Ultrasound Training
- Includes online learning created by Hennepin Healthcare’s Emergency Medicine faculty, which covers all clinical uses of bedside ultrasound
- In-person practice in the Simulation Center and ICU emphasizes assessment of global cardiac function, pericardial abnormalities and IVC/volume status
- Residents can work one-on-one with Hennepin echocardiogram technologists to further develop bedside echocardiography skills
- Teaching focuses on practicality and utilizing bedside ultrasound information to improve clinical decision-making
Global Health Course
- The University of Minnesota holds an annual global health course, accredited by the American Society of Tropical and Travel Medicine, every May
- Online learning, in-person lectures from infectious disease experts, public health officials, and leaders of major aid organizations, simulation training and applied lab work are included in the curriculum
- Residents who complete the course can earn a nationally-recognized Certificate of Knowledge in Clinical Tropical Medicine and Travelers’ Health
About Our Faculty
The Department of Medicine at Hennepin Healthcare has over 160 faculty from all disciplines of internal medicine. These experienced physicians and teachers choose to work at Hennepin because of our patient population and their long-term commitment to education. Faculty are here for the same reasons as residents: to learn together and help those in need. Most work clinically, others are basic or clinical scientists.
Many faculty are nationally recognized as leaders in their fields, active in research, teaching and patient care. All hold appointments at the University of Minnesota Medical School in addition to faculty positions at Hennepin Healthcare.
- Dr. Rosemary Quirk, Program Director, Internal Medicine Residency at Hennepin Healthcare and Assistant Professor at the University of Minnesota
- Dr. Michael Lawson, Associate Program Director, Internal Medicine Residency at Hennepin Healthcare and Assistant Professor at the University of Minnesota
- Dr. Sam Ives, Associate Program Director, Internal Medicine Residency at Hennepin Healthcare and Assistant Professor at the University of Minnesota
- Dr. Rawad Nasr, Associate Program Director, Internal Medicine Residency at Hennepin Healthcare and Assistant Professor at the University of Minnesota
- Dr. Brian Yablon, Associate Program Director, Internal Medicine Residency at Hennepin Healthcare and Assistant Professor at the University of Minnesota
Global Health / Primary Care Pathways
We offer two pathways in our residency for more focused training in primary care and/or global health. These do not require a separate match. Entry is determined by application after the match.
Global Health Pathway
Since 2006, HCMC and the University of Minnesota have collaborated to teach medical trainees about illnesses and health care delivery in refugee, immigrant and migrant communities in America and in low-resource countries. Through didactic coursework and direct clinical exposure, residents learn about healthcare disparities, care for diverse populations locally and abroad, benefit from collaboration and learning across sites, and receive mentorship and guidance about careers in international medicine.
The Global Health Pathway is open to all residents, with an application process during intern year. Applicants should demonstrate interest in a career overseas or in working with refugee and immigrant populations in the U.S. or abroad. International rotations are open to everyone, however preference is given to Global Health Pathway participants.
- July: Informational overview of Global Health Pathway program
- September 1: Application opens
- October 1: Application deadline
- November 1: Participants selected
- April: Applications due for international rotations
- Global Health Course: Online and in-person coursework is available through the University of Minnesota Medical School and School of Public Health. Topics pertinent to working overseas and with immigrant and refugee populations in the US are covered. Find the syllabus at http://www.globalhealth.umn.edu/. The course is offered yearly in May, and is a pre-requisite for taking a national certifying exam in tropical and travel medicine.
- Global Health Curriculum: Hennepin Healthcare supports a diverse community of residents, faculty and staff and provides health care to the largest number of refugees and immigrants in Minnesota. Educational opportunities include global health noon conferences and morning reports, local monthly conferences which draw global health providers from across the Twin Cities, a Migrant Worker Elective, and small-group meetings with global health faculty and residents.
- International Rotations: Selected residents may spend one 4-week rotation overseas, typically during PGY-3 year. There are multiple established, supervised international sites available through HCMC and the University of Minnesota, however residents can also explore independent options. Residents often travel and work directly with HCMC staff physicians overseas. Past rotation sites include Cameroon, Costa Rica, El Salvador, Kenya, Madagascar, Nepal, Pakistan, Peru, South Africa, Bangalore, and Tanzania. Pathway participants can also take advantage of institutional relationships held by the University of Minnesota with Chiang Mai University in Chiang Mai, Thailand, and Makerere University in Kampala, Uganda.
Primary Care Pathway
Launched in 2010, the Primary Care Pathway provides targeted training and career development for residents interested in primary care. Our curriculum focuses on outpatient management in urban and underserved patient populations.
This Primary Care Pathway accepts 2-3 residents per class, post-match. Participants should be interested in working as primary care providers after residency. There are limited opportunities to join the pathway in the G2/G3 year, as scheduling permits.
- Pathway residents spend 4-5 months each year in the ambulatory setting, including three months on primary care blocks which include a weekly academic half-day and extra continuity clinics
- Core clinical experiences include Healthcare for the Homeless, community-based primary care at Brooklyn Park, outpatient subspecialty rotations, addiction medicine and pain clinics, Travel Medicine, breast cancer surgery clinic, ambulatory procedural workshops, and health education for Hennepin County Jail inmates
- Primary Care Forum is a weekly, half-day educational session about primary care topics, practice management, critical appraisal of the medical literature, evidence-based medicine and leadership skills. The forum incorporates didactic and self-directed learning. Faculty from medicine and surgical subspecialties provide teaching and hands-on didactics for primary care residents.
- Primary Care Pathway residents participate in a breakfast book club with guided discussions about the chosen book. Previous books have ranged from Being Mortal by Atul Guande, to American Pain by John Temple.
What Sets Us Apart?
Hennepin Healthcare serves patients who speak dozens of languages and are supported by one of the largest hospital interpreter programs in the nation. The Global Health curriculum and Global Health electives enable residents to learn more about international healthcare delivery and travel to places as diverse as Nepal, Papua New Guinea, Thailand, Peru, Laos, Cameroon, Pakistan, and South Africa.
Our residents work within existing clinical trials, publish articles in top journals, and present scholarly work at regional and national meetings. Residents obtain statistical support, faculty expertise and other scholarly resources to accommodate every interest and experience level.
Simulation, Bedside Ultrasound and Procedural Training.
We have a state-of-the-art Simulation Center with task trainers for a wide variety of procedures, as well as online and in-person resources for learning and mastering bedside ultrasound and developing competency in central and A-line placement, paracentesis, thoracentesis and other procedures.
Employment and Fellowship Opportunities.
Roughly half of our graduates go on to fellowships, and place in competitive programs across the country. Our primary care and hospitalist graduates are in high demand for challenging clinical positions.
Focus on Wellness.
Residents in our program have very high rates of wellness, peer support, job satisfaction and appreciation, which we’ve been measuring annually since 2014.
Primary Care Track.
Our Primary Care pathway allows residents to rotate at additional outpatient sites, further develop ambulatory procedural skills, and receive focused education in chronic disease and practice management.
We consider applications and extend interviews beginning in early October. You are encouraged to apply by October 1st, however, applications will be accepted through November 15th. Submit your application through the Electronic Resident Application System (ERAS). Detailed requirements for our program are located in ERAS. We take into account Medical School Performance Evaluations, medical school transcripts, letters of recommendation from supervising faculty, USMLE and/or COMLEX scores, research and volunteer work, your personal statement and career goals when selecting candidates to interview.
International Medical Graduates
Internal applicants are welcome to apply. Hennepin Healthcare sponsors the J1 visa only. International graduates must meet the following requirements with no exceptions:
- Have at least twelve weeks U.S. inpatient clinical experience at a U.S. academic teaching hospital (observerships considered)
- Submit 2-3 letters of recommendation from faculty who supervised inpatient rotations
- Achieve a score of 220 or higher with a first-time pass on USMLE steps 1, 2, and CS
- Apply within five years of medical school graduation
- Submission: Submit your application through the Electronic Resident Application System (ERAS). HCMC participates in the National Resident Match Program (NRMP).
- Interviews: Selected applicants will be invited for interviews, which are held from late October until late December.
About Our Facility
Hennepin Healthcare is a Level 1 Adult and Pediatric Trauma Center, with a campus spanning five city blocks in downtown Minneapolis. We have the busiest Emergency Department in the region, as well as a brand new ambulatory building for all outpatient surgeries and procedures. In the past ten years, the MICU, SICU, Burn Unit, dialysis unit, Rapid Treatment Unit for observation patients and Simulation Center were either rebuilt or renovated.