Pathways
Career development is one of the cornerstones of our program’s curriculum. Our 4+2+2 block scheduling allows for significant flexibility and early subspecialty exposure. Leveraging this flexibility, we tailor the components of each pathway, physicianship (experiential learning), scholarship, and mentorship to optimize individual development for the next step in your career. We currently offer fellowship pathways and separate career development pathways. Both are available for residents to apply to, regardless of whether the resident has plans to apply to a fellowship program. Trainees will apply to the pathways in their PGY1 year to setup the schedule for their following PGY2 and PGY3 years. They may enroll in up to 2 pathways (fellowship + career development, or 2 career development pathways).
Fellowship Pathways
Residents choosing to focus their training on a specific subspecialty can apply through a competitive application process to enter our tailor-made fellowship pathways. Each pathway outlines a curated set of required inpatient and elective rotations as well as special rotations limited to pathway participants. Our alumni have entered into fellowships and attending physician positions at many prestigious institutions.
Selected fellowship pathways (sample):
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Mandatory rotations (4 weeks unless noted)
- JMH Cardiology Wards
- JMH CCU
- UHT CVICU
- JMH or UHT Cardiology Consults (2 weeks)
- JMH Heart Failure Consults (2 weeks)Optional rotations:
- JMH Interventional Elective
- UHT Interventional Elective
- UHT Electrophysiology Consults
- UHT Echocardiogram Elective*
- VA Cardiology Elective *
- Harvey Elective
- PC-UHT Cardiology Clinic -
Mandatory rotations (4 weeks unless noted)
- JMH Transplant Hepatology Inpatient Service*
- JMH Hepatology Consults
- JMH or UHT GI ConsultsOptional rotations:
- PC-UHT GI Clinic
- PC-UHT Hepatology Clinic
- Abdominal Imaging Elective*
- Surgical Nutrition* -
Mandatory rotations (4 weeks unless noted
- UHT Oncology
- JMH Hematology/Oncology
- Clinical Research Elective (2wk)*
- JMH Hematology Consults (2wk)
- JMH Oncology Consults (2wk)Optional rotations:
- UHT Oncology Consults
- UHT Hematology Consults
- JMH Hematopathology
- Benign Hematology - Mixed Inpatient and Ambulatory*
- JMH Oncology Clinics with Tumor Board
- PC-SCCC Oncology/Hematology* -
Mandatory rotations (4 weeks unless noted)
- JMH MICU
- VA MICU
- JMH CCU
- JMH or UHT Pulmonary Consults (2wk)
- UMH MICU Elective (2wk)*Optional rotations:
- JMH IMCU Central 6 Elective*
- PC-UHT Pulmonary Clinic
- PC-UHT Sleep Clinic
- PC-VA Pulmonary Clinic
- JMH ID Consults
- JMH Nephrology Consults
- JMH SICU/Trauma ICU*
- Procedure Team Elective* (in addition to already scheduled mandatory rotation)
* rotation exclusively available to those completing this pathway
Career pathways
We offer several additional tracks, also available through a competitive application process, for those seeking to customize their training to focus on medical education, global health, urban health, women’s health, healthcare administration, or hospital medicine.
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Global Health
A Pathway Designed to Create Leaders in Global Health Locally and Worldwide
The Internal Medicine Global Health Pathway gives those residents interested in global health the opportunity to receive formal training and exposure to the multiple disciplines associated with this growing field. At the end of residency, you are prepared to enter a global health career or fellowship. We recognize that not all global health practitioners are created equal and have therefore fostered relationships with other institutions with similar goals to provide you with the educational experience of your choice. All residents with global health interests are encouraged to join one of the 3 pathways detailed below:
OPTION 1: INTERNATIONAL ELECTIVE PATHWAY
OPTION 2: HUMANITARIAN COURSE/DISASTER RESPONSE PATHWAY (MCGILL UNIVERSITY)
OPTION 3: TROPICAL MEDICINE CERTIFICATION PATHWAY (UNIVERSITY OF MINNESOTA)
For further information about this track, please contact Dr. Elizabeth Greig: e.greig@med.miami.edu and/or Dr. Anjali Saxena: axs821@med.miami.eduMandatory rotations (4 weeks unless noted)
- International Elective (PGY2 as well as PGY3)*
- Tropical Medicine (CTropMed only)
- Longitudinal Humanitarian Health*
Optional rotations:
- Disaster Simulation
- Trauma
- Anesthesia
- Orthopedics -
Urban Health
A Pathway Designed to Develop Leaders in Primary Care of the Under-served
Started in 2017, the Urban Health Track (UHT) is a two-year track designed to develop leaders in primary care and urban/under-served care for South Florida and beyond. This primary care oriented curriculum is a carefully curated curriculum focusing on special areas of need within an urban population in potentially resource challenged areas. These include experiences in psychiatry, HIV primary care, women’s health, dermatology, and musculoskeletal examination/procedures.
In addition to the required clinical rotations, UHT residents volunteer longitudinally at the IDEA Exchange - a free clinic that provides sterile syringes, basic wound care, overdose prevention, and referrals to HIV treatment services with the intention to reduce HIV, HCV, and other blood-borne illnesses in the community.
UHT residents participate in quarterly resident-driven journal clubs. All urban health track residents are required to participate in scholarly activity and must complete at least one scholarly activity project in order to successfully complete the track.
In addition to the Pathway, interested applicants are encouraged to apply separately to the Urban Health Track - which is a different designation from the categorical and Harrington programs. Internal Med/Urban HealthERAS ID: 1104140C3. You can apply to both the categorical IM and Urban Health Track if interested.
Sample rotations
Year 1:
HIV Primary Care
Psychiatry (outpatient)
Women's Health
Dermatology
Sports Medicine/MSKYear 2:
HIV Primary Care
Psychiatry (inpatient consults)
Miami Rescue Mission
Additional Elective Time - 4-6 weeks (average) -
Health Care Administration
A Pathway Designed to Train Effective Administrative Physician Leaders
Co-directed by Dr. Sabrina Taldone, associate CMO for Ambulatory Services at UHealth and division chief for General Internal Medicine, as well as well as Dr. Bhavarth Shukla, Medical Director for Infection Control, the Health Care Administration Pathway aims to provide physician-trainees with the knowledge and skills essential to bridge clinical practice and management to become effective administrative physician leaders, and to thereby enhance the overall quality of the health care delivery system. The pathway will provide multi-faceted training in subject areas including patient safety and quality improvement, health insurance, health care finance, informatics, health care economics, transitions of care, health care policy, risk management, patient experience, patient centered medical homes, and chronic care. Throughout the pathway, there will be regular round tables with leadership focused on senior management challenges.
For further information about this track, please contact Dr. Sabrina Taldone: staldone@med.miami.edu and/or Dr. Bhavarth Shukla: bhavarth.shukla@med.miami.edu
Mandatory rotations (4 weeks unless noted:
- Healthcare administration
- Three Year QI Curriculum
- Six Sigma TrainingOptional rotations:
- Academic Leadership
- "Pre-tending" Inpatient Wards -
Hospital Medicine
A Pathway Designed to Develop Skilled Clinicians and Leaders of Quality in Healthcare Systems
The goal of the Hospital Medicine Pathway is to develop internists who are experts in the care of hospitalized patients and leaders of change within the healthcare system. Led by our Divisions of Hospital Medicine at UHT and the VA, residents have the opportunity to work alongside faculty leaders in peri-operative medicine, procedural competency, quality improvement and patient safety.
For further information about this track, please contact Dr. Efren Manjarrez: emanjarrez@med.miami.edu
Mandatory rotations (4 weeks unless noted:
- Procedure Team
- VA Perioperative Assessment Clinic
- Critical Care - UMH
- "Pre-tending" (Teaching or Non-Teaching)*
- Healthcare Administration (2wks)
- Hospital Medicine Elective (2 weeks)*Optional rotations:
- Trauma (ATLS required)
- Anesthesia/Sedation (2 weeks) -
Medical Educator
A Pathway Designed to Transform Clinicians who Educate into Dual Clinician Educators and Leaders in Medical Education
Our Medical Educator (Med Ed) Pathway is designed to transform motivated residents from clinicians who educate into dual clinician educators and future leaders in medical education. This carefully curated pathway includes a dedicated academic leadership elective to develop the knowledge and skills to teach both in the classroom and at the bedside, as well as to lead a team on the wards and in the office.
Each of our Med Ed residents participates in an intense two-week workshop aimed to create future leaders in medical education. Created and led by faculty with extensive backgrounds in education and/or business administration, residents receive interactive, hands-on training in the following areas:
Strategic Management and Leadership in an Academic Medical Center (Dr. Stefanie Brown. MD, MBA)
Utilizing Backward Design to Create and Deliver Effective Teaching Sessions (Dr. Kendra Van Kirk. MD, MAT)
Academic Coaching and the Science of Learning (Dr. Adrian Reynolds, Ph.D.)
Mandatory rotations (4 weeks unless noted
- JMH Team 1 and 2 or 3
- UHT Wards
- Procedure Team
- "Pre-tending" Inpatient Wards*
- UM Teach (2wk)
- Academic Leadership Elective*
- Introduction to UME and GMEOptional rotations:
- Gordon Center Simulation Elective
- Healthcare Administration
- Med Student Teach* -
Women's Health
A Pathway Designed to Develop Expertise in Providing Comprehensive Care to Female Patients
We designed the Women’s Health Pathway to develop internists with a understanding of how diseases present differently in women and expertise in providing comprehensive care to female patients. This track will provide residents with a base of knowledge and skills that will enhance their future sub-specialty training or primary care practice. They will also be given the opportunity to network and obtain mentorship from physicians with clinical and research interests in women’s health. Residents who complete this program will move on to clinical or research careers that will be enhanced by their experience in this program.
For further information about this track, please contact Dr. Erin Marcus: emarcus@med.miami.edu
* rotation exclusively available to those completing this pathway
* rotation exclusively available to those completing this pathway