Lahey Hospital and Medical Center is
a 335 bed tertiary care medical center located in Burlington, MA. We are a major teaching hospital of Tufts
University School of Medicine and the primary referral center for Lahey Health,
a system of community hospitals and physicians 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, we also care for patients with advanced
liver disease (we have the busiest liver transplant center in the area), and
oncology patients receiving chemotherapy, including those part of research
protocols and autologous stem cell transplants. The hospital houses multiple cardiac
catheterization and electrophysiology labs, which were newly renovated in 2018.
Cardiac and medical ICU patients are managed with mechanical support devices
(intraaortic balloon pump, Impella, tandem heart, and ECMO) if needed. Patients
are also transferred to our campus with acute rheumatologic, infectious, and
endocrine disorders requiring specialized inpatient or intensive care.
Our outpatient population is equally interesting. The General Internal Medicine
practice has approximately 124,000 visits each year. Categorical residents rotate
through our residency continuity clinic every fifth week in a “4+1”
system. In August 2018, the continuity
clinic relocated to a large, modern facility steps away from the main hospital,
which includes a large precepting room for residents. During your time in the
continuity clinic, you will learn how to manage chronic diseases (ex.
hypertension, diabetes mellitus, asthma, etc.) as well as more acute conditions
and pre-operative evaluations. Residents
often build their own patient panel during their three years in clinic. Our continuity
clinic is an opportunity to practice teamwork skills, and to thoroughly
understand the many guidelines and recommendations available to help optimize
During the continuity clinic week, residents
partake in a Quality Improvement curriculum to supplement the education already
in place from the institution and the program. The content of the QI curriculum
provides residents with practical tools to complete valuable QI projects during
residency as a team or individuals. The QI curriculum sessions are led by one
of the associate program directors.
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 during their ambulatory blocks.
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 efforts are recognized and appreciated. It also means that
communication with attendings and other colleagues is sincere, respectful, and
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. 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 inclusive of active faculty members, supportive administration, and conscientious ancillary staff.
Our residents also have a chance to participate in other aspects of hospital and ambulatory clinic activities, including serving on committees, functioning as editors of the Mall Street Journal (Lahey’s internal medicine newsletter), and participating in quality improvement projects.
Lahey offers a variety of continuing medical education programs across New England, and welcomes resident participation and attendance.
Lahey Hospital & Medical Center Internal Medicine Residency Mission Statement and Goals
- 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
- To encourage the development of leadership skills that position the residents to become agents of change in the present and future. To ensure residents are well-prepared for either general internal medicine practice or fellowships.
- Support trainees as they learn how to deliver the
highest quality and safest patient care using evidence-based medicine,
quality improvement, patient safety tools, and a team-work approach.
- 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. Acknowledge 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 Lahey’s mission statement
of providing superior health care to our patients. At least twice a year residents will receive feedback on their road to mastery of the AGGME 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 mulitple 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