(508) 363-6208

Program Highlights

Saint Vincent Hospital
Internal Medicine Residency Program

Categorical Internal Medicine (NRMP #1290140CO)
Preliminary Year (NRMP #1290140PO)
  • Our Internal Medicine Training Program has a total of 75 house officers: 3 chief medical residents, 21 senior residents, 21 junior residents, and 33 interns, which includes a mix of categorical and preliminary year positions. The Department of Medicine at Saint Vincent Hospital currently has over 100 teaching faculty members composed of internists and subspecialists. Our program is accredited by the Accreditation Council for Graduate Medical Education (ACGME).
  • We accept all PGY-1 applications through the Electronic Residency Application Service (ERAS). All PGY1 categorical and preliminary positions are filled through the National Resident Matching Program (NRMP). The preliminary year is for those who seek a medical internship before entering programs in allied specialties such as Neurology, Anesthesiology, Psychiatry, Radiology, Ophthalmology, Dermatology, Physical Medicine/Rehabilitation etc.
  • Our residents consistently score impressively on the Internal Medicine Boards. While many of our graduates chose to pursue careers in primary care or hospital medicine, more than half of our graduates choose to enter subspecialty fellowships. Our record of placement of residents into excellent subspecialty fellowships and hospitalist/primary care positions remains very strong, and we provide necessary support to maintain this tradition. All our graduates have acquired a unique and essential perspective on managed care since Saint Vincent Hospital is closely affiliated with the Saint Vincent Physician Services and Reliant Medical Group, which are affiliated with HMO’s that are nationally recognized for outstanding quality care and innovation.

Important characteristics of our Internal Medicine Training Program

Low Volume Patient Responsibilities and Well-Balanced Team Structure:
  • Each intern is responsible for carrying a census of 8 patients and for admitting up to five new patients when on admitting team (Not more than10 patients in 48 hours).
  • Each inpatient team consists of an attending physician, one or two residents, one or two interns, and may have a third-year medical student on the clinical clerkship, and/or a fourth-year student on a sub-internship. There may also be other learners such as physician assistant students or Podiatry residents. Our ICU team comprises of five residents and five interns. The PCU team comprises of one resident and an intern.
  • Our policy dictates that all diagnostic and therapeutic orders on teaching patients are written by the house staff. The attending staff has voluntarily agreed to refrain from writing orders in the interest of our educational program.
  • The program is also designed to include an extensive and carefully conceived experience in ambulatory care. Each categorical medical resident spends one four-week block each year of their residency under the tutelage of a primary care “mentor” Please refer to our ambulatory care page for more details.
  • Below is an example of the block distribution:

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Exceptional Educational Opportunities:
  • Morning Report sessions, in which the house officers and medical students meet with the Chief Residents and the program leadership for the presentation of recent admissions, follow-up reports, and planned and unplanned discussions of selected clinical problems, differential diagnosis, workup, and management plans. Specialists and hospitalists attend the specialty MR sessions that are held during the month.
  • Daily noon conferences including subspecialty lectures devoted to the core curriculum, including the basic science pertaining to each subspecialty. Socially relevant issues are also discussed such as Women’s Health, Managed Care, Life After Residency, Ethics, Domestic Violence, and End of Life/Palliative Care.
  • In addition to morning reports and noon lectures, we have regularly scheduled Grand Rounds, Morbidity and Mortality conferences, Patient Safety Rounds, PI project presentations, Journal Club, Senior Resident lecture and a Board Review Series.
  • Professor Rounds are held for one hour on a weekly basis. The cases to be discussed are determined by the resident and the focus of these sessions are on clinical reasoning and bedside physical examination.
  • In the ICU and CCU, there are daily teaching rounds with an intensivist and a cardiologist respectively.
  • Our house staff undergoes procedures/code training at the University of Massachusetts Medical School’s Albert Sherman Simulation Center. This state of the art facility provides an opportunity to practice procedures such as lumbar puncture, endotracheal intubation, and code simulation. Regular mock codes are also conducted by the chief residents and central line insertion simulation sessions are held regularly at SVH.
  • Several other interdisciplinary learning opportunities include Tumor Board, Radiology and Pathology Conferences, Surgery and Neurology Grand Rounds, and Inter-hospital GI, Cardiology, Renal, Endocrinology and Infectious Disease Rounds.
  • In addition to these scheduled activities, our house officers are welcome to utilize the teaching consultation. This is an educational exercise in which the subspecialist teaches at the bedside in response to the request of the house officer team. It is a fundamental principle of this program that house officers have the privilege, at any time, of requesting a teaching consultation in lieu of, or in addition to, any clinically indicated consultations on patients under their care.
  • We also strongly encourage membership to the Massachusetts Medical Society, Worcester District Medical Society, American College of Physicians, American Medical Association and other subspecialty organizations.
Other Unique Features:
  • Learning without Burnout: By design, our residency training is nearly “scut-free”. Our faculty is fully aware of the differences between service and education. It is a basic principle of our program that house officers should spend most of their time taking care of patients to enhance their learning. We also encourage our house officers to participate in a variety of social activities including group/family outings for apple picking, local shows, skiing, snow tubing, “International Food Festival” and other extra-curricular and cultural events. There are many activities that center around resident well-being including “attending the flame” workshop.
  • Patient Diversity: The inpatient population is an exciting mixture of bread-and-butter community-hospital medicine blended with rare and exciting cases like those seen at a university hospital tertiary care center. Residents are responsible for taking care of patients with ethnic and socioeconomic diversity.
  • Committed Faculty Members: The faculty, while recognizing that their primary commitment is to patient care and medical education, is committed also to academic productivity. The bibliography of our faculty over the past ten years numbers over 500 articles, book chapters, and textbooks.
  • Participation in Conferences and Medical Jeopardy Competition: Our residents are active participants in the annual state-wide American College of Physicians (ACP) abstract and “Medical Jeopardy” competitions. Each year we have local and national winners. Our Jeopardy Team were state champions for the last 5 of 7 Jeopardy competitions.
  • Excellent Ancillary and Support Services: The Radiology Department has a large full-time faculty and its own residency program. It offers a full range of radiological services, including neuroradiology, vascular radiology, ultrasonography, computerized axial tomography, CT-guided needle biopsies, embolization of arterial bleeding sites, treatment of vascular occlusions by percutaneous intraluminal balloon angioplasty, placement of vascular stents, full scale nuclear medicine (including myocardial scintigraphy, gated pool scanning etc.) and advanced MRI imaging. Emergency procedures are available twenty-four hours a day, seven days a week. With the opening of our new facility, we were the first hospital in central Massachusetts with our own MRI unit on site and the first facility in New England with a completely filmless (digital) Radiology Department, which includes instant access to radiological studies on hospital or home computers. Three-dimensional (3D) Mammography is the latest addition to our Cancer and Wellness tertiary care facility.
  • State of the Art Hospital: We have been named as one of the top 100 hospitals in America, and have been the recipients of several recognitions including Leapfrog A. Our MICU has been named by the federal government as one of the top ten intensive care units in the country, and recently was the first ever winner of the “Patient and Family Focused ICU” award Specialized diagnostic and therapeutic services include three very busy cardiac catheterization labs and OR’s with 24 hour cardiac catheterization/stenting, trans- catheter aortic valve replacement (TAVR), mitral valve clipping, pulmonary physiology, fiberoptic bronchoscopy, non-invasive cardiology, cardiac electrophysiology (housed in a brand new lab), neurophysiology, G.I. endoscopy and physiology, nuclear cardiology, open heart surgery, coronary angioplasty, plasmapheresis, radiation oncology including Cyberknife, in-house hemodialysis, variceal sclerotherapy, laparoscopic and thoracoscopic surgery.
  • Mandatory and Thorough 360 Degree Evaluations: Our procedures for evaluating the performance and competence of our residents are well developed. They include observation of the resident as early as during orientation performing histories and physical examinations, utilizing the standardized patient technique (OSCE’s) pioneered at our medical school with the collaboration of our faculty, web-based critiques following each rotation, end of the month exercises, and the Internal Medicine In-Training Examination each year. Patient and nursing evaluations are also sought.
  • Easy Access to Miscellaneous Support Services: Support services include medical photography, medical illustration, and an excellent library. High-speed Internet connections are readily available on all our 1200 computers that allow for medical literature searches and texts throughout the hospital and departmental libraries utilizing UpToDate, OVID, and other useful resources.
  • Additional Teaching and Learning Opportunities: We have a close relationship with the U Mass Medical school (UMMS). Saint Vincent Hospital is a few minutes’ drive from the University of Massachusetts Medical School. Our close relationship with U Mass Medical School also permits our staff to participate actively in the everyday life of the medical school. Our full-time staff members have served and are serving on the essential committees of the medical school, including the Faculty Council, the Clinical Years Committee, the Executive Council, the Admissions Committee, the Educational Policy Committee, and the Personnel Action Committee. Our teaching faculty members hold academic appointments at the school. The most important feature of the affiliation is our involvement in the training of the medical students. Saint Vincent’s teaching staff is involved in all the four years of medical student training. The presence of third-year clinical clerks and fourth-year sub-interns on our ward medical teams provides an essential stimulant and a vital opportunity for interns to learn by teaching.
  • Opportunities to Observe and Work with Wide Varieties of Physicians: Our unique relationship with the Reliant Medical Group and Saint Vincent Physician services provides not only the educational support of a large and experienced managed health care group but the potential for excellent employment positions after graduation.
  • Participation in Scholarly Activities: We have a great track record for publications. The Department of Medicine provides necessary support for statistical analysis and writing manuscripts. The residents are also involved in monthly ambulatory care PI projects.
If you have any questions, please do not hesitate to contact our Program Coordinator Tina Kachadoorian at 1-877-633-2368, Ext. 26208 or (508) 363-6208.