Internal Medicine Residency

 2016-2017 class photo 

Introduction

Lahey Hospital and Medical Center is a 325-bed tertiary care medical center located in Burlington MA.  We are a major teaching hospital of Tufts University School of Medicine. We are the primary referral center for Lahey Health, a system of community hospitals and physician practicing north and west of Boston.  Because of the large catchment area, our patients reflect the socioeconomic diversity of our region.

Internal medicine residency training in a tertiary care medical center with a large transfer population means a lot of interesting patients! In addition to common internal medicine diagnoses like heart failure, pneumonia and acute MI, we also care for patients with advanced liver disease (we have one of the busiest liver transplant centers in the area), and oncology patients receiving chemotherapy, including as part of research protocols and autologous stem cell transplants. Our cardiac catheterization and electrophysiologic labs are very active. Patients are also transferred here with acute rheumatologic, infectious disease, and endocrine disorders requiring specialized inpatient or intensive care.

Our outpatient population is equally interesting. The General Internal Medicine practice has approximately 120,000 visits each year.  In July 2016 we transitioned to a “4+1” schedule and the residents rotate every 5th week through our residency continuity practice.  Our primary care practice offers a large amount of chronic disease management, e.g. diabetes mellitus, hypertension and asthma.  Residents also have the opportunity to see patients with urgent medical problems, for pre-operative evaluations, and general preventive medicine.   Our new resident practice is an opportunity to practice teamwork skills, and to thoroughly understand the many guidelines and recommendations available to help optimize health.  

During this week we are piloting a new quality improvement/patient safety curriculum to supplement the education already in place from the institution and the program.  During the clinic week, the residents work together on Quality Improvement projects, and engage in QI education.  Several of the program directors are integral to this process.

Lahey Hospital and Medical Center prides itself on its integrated group practice model. Residents work closely with all the subspecialty physicians, and rotate through each subspecialty on an ambulatory basis.

Lahey also values the collegiality and teamwork that is palpable throughout the institution. This means that our residents work in a place where their input, energy and effort are recognized and appreciated. It also means that communication with attendings and other colleagues is sincere, respectful and productive.

Training residents in the 21st century

Healthcare is rapidly changing, and internists care for patients in a variety of settings, with a wide-range of medical conditions and preventive medicine needs. Our training program’s mission is to provide our residents with the skills necessary to thrive in our changing medical environment.

Because of the acuity and breadth of patients at Lahey – from intensive care to general internal medicine – our residents care for patients across a wide spectrum of disease in an efficient system supplemented by active faculty members and a supportive institution.

Our residents also have a chance to participate in other aspects of hospital and ambulatory clinic activities, including serving on committees and participating in quality improvement projects.

Lahey offers a variety of continuing medical education programs across New England, and welcome resident participation and attendance. 

Lahey Hospital & Medical Center Internal Medicine Residency Mission Statement and Goals   

Mission  

  • To educate our residents in providing unsurpassed care for patients with routine as well as high-acuity, complex conditions whether as a generalist or subspecialist.
  • To support the professional development, personal growth and specific goals of residents and medical students.
  • To educate our residents in becoming well-rounded physicians, with strong understanding of the fundamentals of Internal Medicine, evidence based practice, physical diagnosis, and quality improvement.
  • Have developed leadership skills that position them to become change agents in the future, whether in a practice, department or organization.  
  • Residents are well-prepared for either general internal medicine practices or fellowships   
 

Goals 

  • Support trainees as they learn how to deliver the highest quality and safest patient care using evidence-based medicine, quality improvement, patient safety goals, and team work. 
  • Outline and implement specific learning objectives of an educational curriculum that ensures the broad knowledge and clinical skills required of qualified physicians to provide excellent patient care, and to advance medicine through research and education.
  • Promote a culture of mutual learning, respect, and education, acknowledging diverse views that foster healthy discussions among residents, clinicians, colleagues, patients and families.
  • Utilize transparent systems for timely, meaningful and constructive resident evaluation and feedback in professionalism, patient care, medical knowledge, practice based learning, communication and systems based practice that are aligned with the Lahey’s mission statement of providing superior health care to our patients.  Twice a year residents will receive feedback on their road to mastery of the ACGME Internal Milestones.  This feedback is based on written evaluations, direct observation, nursing input, patient feedback, and other faculty input to our Clinical Competence Committee (CCC).  Input from multiple sources provides robust information to residents, and allows us to tailor support in particular areas if needed.
  • Support, guide and educate residents to provide ethical and patient-centered care and fulfill professional obligations.
  • Nurture residents to become lifelong learners.
  • Recruit and retain exemplary residents, medical students, and faculty.
  • Maintain a balance of education, service and research, while adhering to Lahey’s internal GME committee guidelines and maintaining ACGME accreditation.
  • Promote scholarly activities and opportunities for research projects while providing mentoring and supervision by faculty.