Department of Medicine

Internal Medicine Categorical Residency

The Internal Medicine Residency Program at IU School of Medicine offers exceptional comprehensive training in internal medicine, preparing graduates for further subspecialty training, hospitalist or primary care positions. In addition to comprehensive training, residents within the program can enter a  primary care track, clinician educator track, global health track or an American Board of Internal Medicine-defined research track

Admission Requirements

The Internal Medicine Residency Program at IU School of Medicine is extremely competitive in its field, receiving more than 2,000 applications each academic year for 36 available positions. The department extends interviews to approximately 400 applicants each year. The application deadline is December 31, and applicants apply to the program via the Electronic Residency Application Service (ERAS).

Selection Criteria

Residents in the Internal Medicine Residency Program have an average USMLE Step I score of 239. A holistic review is completed for each applicant selected for an interview. The program and institution value diversity. All applicants should register their USMLE Step 2 (CS and CK) scores with the department no later than March 1. Failure to provide this information by this deadline negatively impacts an applicant’s position in the rank order list. Applicants should have graduated from medical school within the previous three years.

International graduates are welcome to apply to the program but must have proven clinical experience within the United States. Outpatient experiences and observations without hands-on experience will not be sufficient. IU School of Medicine only accepts J1 Visas.

Internal Medicine Residency Tracks

Residents participating in the Internal Medicine Residency Program receive comprehensive clinical training. Residents can apply for additional training tracks after the first year of training, including primary care, clinical education, global health and research.

The Primary Care Track is designed for residents wishing to focus on a career in the outpatient clinical setting. Two residents may be accepted into this track each academic year, and residents wishing to apply to this track must do so at the end of their PGY-1 year. This track is flexible, allowing residents to rotate through unique ambulatory care electives, to create their own electives, and to teach students in outpatient clinics. The primary care track features a modified rotation schedule to achieve more than 50 percent outpatient training with fewer intensive care unit months. Participating residents also add a second weekly outpatient clinic rotation in their choice of general medicine or a subspecialty clinic.

The CETP is a two-year program designed to prepare residents and fellows for careers as clinician educators. Participants receive training in several areas including teaching strategies, curriculum/program development and education research. Residents produce a capstone project and earn a certificate upon completion of the program, lending credibility when applying for clinician-educator roles.

The Global Health Track engages highly motivated residents from diverse specialties to better understand the social, economic, cultural and environmental factors that contribute to health and disease throughout the world. The program seeks to equip residents to address health disparities and encourages long-term commitment to global health issues, both domestic and international. The global health track curriculum is co-curricular alongside each participant’s residency educational mission and requirements. Each resident is required to complete an international field elective or local-global health rotation at a site chosen by the resident. Many chose to go to Kenya through the AMPATH program, but more than one-third have been to diverse sites across the globe. The program follows the IU School of Medicine global health curriculum and includes quarterly conferences, mentorship, and a scholarly project or presentation on a global health topic related to the resident’s specialty.

The ABIM Research Pathway is offered to residents with more extensive research experience, often including but not requiring a PhD, who otherwise meet the criteria for selection for the residency and for whom there is appropriate and available mentorship. The ABIM Research Pathway is an integrated program that combines training in research with training in clinical internal medicine and its subspecialties. This pathway is recommended only for physicians who intend to seriously pursue a career in basic science or clinical research. Physicians who are interested in teaching or practicing internal medicine should pursue the standard three years of internal medicine training. Although this track requires an additional one-to-two years of training, graduates are well positioned for hire due to the intensive research experience obtained.

Early planning of this track is necessary, as training in research requires more time than standard clinical training. Five years are required to complete the research track for general internal medicine, and six-to-seven years are required for subspecialties and/or added qualifications, depending on the discipline. Two years of full-time clinical training in medicine and three years of research training are required for this track.

During research training, at least 20 percent of each year must be spent in clinical experiences, including at least one half-day per week in a continuity clinic. Individuals choosing subspecialty training complete two years of internal medicine residency training followed by the subspecialty fellowship, including any additional research training the individual program may require. Residents should discuss their research interests with the program director and vice chair for research during the first year of residency. It is possible to earn a PhD while on this track.