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Emergency Medicine/Internal Medicine

Combined training in internal medicine (IM) and emergency medicine (EM) is currently offered at eleven institutions for graduate medical education in the U.S. After completing the five-year integrated training, graduates are board-eligible in both internal medicine (ABIM) and emergency medicine (ABEM). An optional six-year EM/IM critical-care track is available at a few of the EM/IM training sites (those with ** below), which residents may opt into later in their training.

Many exciting career opportunities are available to graduates of these combined residency programs. Most graduates pursue careers in academic medicine, international medicine, rural medicine, or take on a variety of leadership roles. Some graduates complete fellowship training in either IM or EM sub-specialties. Although many early EM/IM graduates practice primarily one of the two specialties, EM/IM graduates now are increasingly able to practice both specialties in some capacity. Some work as hospitalists, splitting their time between the wards and the ED. Some run observation units adjacent to the ED, while others pursue careers in critical care.

The most important initial questions to ask when considering a combined program are, “How would this type of program help me achieve my career goals? Why is it worth five years of training?” Realize that it is generally not advisable to pursue EM/IM training only to be a “better” emergency physician or internist. It is highly recommended to get advice from EM/IM residents and our own program director, Dr. Michael Winters . Dr. Joseph Martinez in the Office of Student Affairs is also a great resource, as he is EM/IM trained, as well as EM Program Director Dr. Michael Bond .

Each EM/IM program has its own strengths and weaknesses. Some important considerations for you may include: How balanced are the EM and IM departments and training? Are EM/IM grads able to practice both specialties at this institution? As with any residency, personal fit, location, university vs. community hospital, patient acuity/diversity, and research or international opportunities should also be evaluated closely.

With only 11 active programs in the country that typically have 2 spots per program (a few have 3 or 4), matching in EM/IM remains competitive. You must have a backup plan, be it EM, IM, or another specialty. Most EM/IM programs will only require you to come for one interview day and will count that interview for categorical EM at their institution as well. Be sure to read through the EM section in this handbook for good advice on planning away rotations and the importance of the SLOE in EM. You will want to plan ahead to the extent possible in order to fit everything you need into those key early months of fourth-year. In the meantime, work hard, determine what you want, and sell your vision of an EM/IM career.

  • University of Maryland**
  • Christiana Care Health System
  • Vidant/East Carolina University/Pitt Co. Memorial**
  • LSU Health Sciences Center
  • SUNY Downstate-Kings County
  • Hofstra/Long Island Jewish Medical Center**
  • Henry Ford Hospital**
  • University of Illinois Chicago
  • Hennepin County Medical Center
  • Virginia Commonwealth University Medical Center
  • Ohio State University

Last Revision: May 1, 2018