Our categorical training program is designed to provide a comprehensive experience in internal medicine. Residents practice in a rich training environment and are exposed to a diverse patient population in a variety of practice settings. You can customize your training by participating in a track(s) within our categorical training program: Clinician-Educator, Health Disparities, Primary Care, and Women's Health. Each of the four tracks offers experiences within the area of interest throughout the three years of residency training. 

Inpatient shifts are scheduled at University Hospital (UH) and the Birmingham Veterans Affairs Medical Center (VA). The three year program is structured as follows.

PGY-1 Residents 

Everything and Everywhere: Exposure to a range of practice environments 

The first year of training is designed to introduce residents to the range of practice: general internal medicine and subspecialty care, inpatient and outpatient, wards and consult services. We pride ourselves on providing trainees with an appropriate balance of autonomy and support, ensuring excellence in both patient care and resident education. Each service has a single attending physician who is a full-time faculty member. Attending physicians are always available to advise and assist. In addition, all medical and surgical subspecialty consultants are immediately available 24 hours a day.

·      Tinsley Harrison Ward(UH)
·      VA Ward
·      Night Float (VA & UH)
·      Cardiac Care Unit (UH)
·      Medical Intensive Care Unit (UH)
·      Subspecialty Ward (UH)
·      Subspecialty Consult
·      Geriatrics
·      Ambulatory Block
·      Inpatient Block

PGY-2 Residents

Taking the Lead: Immersion in subspecialty practice

The second year of training is aimed at expanding the breadth of the resident’s knowledge base while providing in-depth exposure to state-of-the-art practice of the various medical subspecialties. The PGY-2 year is almost evenly split between inpatient ward rotations and consultation services, mostly in the subspecialties. The goal is to provide in-depth exposure to the fields within internal medicine so that PGY-2s develop the range of skillsets required to become well-rounded physicians.

Other rotations include neurology/palliative care, VA urgent care clinic, and an elective month. On subspecialty in-patient services, the PGY-2 resident serves as the team leader and further develops supervisory and teaching skills while working with PGY-1 residents and medical students. On consultation services, the PGY-2 resident initially evaluates patients and then presents the findings and recommendations to the consult attending physician for review and discussion. Consultation services also include participation in subspecialty clinics, conferences, and other activities of the divisions. Didactic and bedside instruction is provided in the special skills and techniques inherent to the various subspecialties.

·      Medical Intensive Care Unit (VA / UH)
·      Cardiology Care Unit (UH)
·      Subspecialty Ward (UH)
·      Palliative Care / Neurology (VA / UH)
·      Subspecialty Consult (UH)
·      Urgent Care Clinic (VA)
·      Ambulatory Block
·      Elective / Research

PGY-3 Residents

Tying it all together: Preparation for independent practice

Similar to the PGY-2 year, time is evenly divided between ward and consultation services. While the consult rotations are similar to the PGY-2 year, the majority of ward months for the PGY-3 residents are spent on the general medicine inpatient services at University Hospital and the VA. The intention is to match the most senior and experienced residents with the rotations that require more responsibility for patient care, supervising and teaching. Working closely with the attending physician, the PGY-3 resident coordinates work rounds and teaching rounds for the team.

·      Tinsley Harrison Ward(UH)
·      VA Ward
·      Night Float
·      Medical Intensive Care Unit (VA / UH)
·      Emergency Medicine
·      Subspecialty Consult
·      Ambulatory Block
·      Elective / Research

Continuity Clinic

Categorical residents have their continuity clinic at either The Whitaker Clinic or the VA Clinic. Residents serve as the primary care provider for their panel of patients throughout the 3 years of training. Both clinic sites have access to any imaging, specialty referral, or procedures that patients may need. There is a low 3-4 resident per attending ratio to facilitate ambulatory learning.

During the PGY-1 year, residents will have one half-day clinic per week on all rotations (except MICU, CCU and night float). During the PGY-2 and PGY-3 years, residents will have 2  half-day clinics per week on non-ward months and no clinics during their ward months. This scheduling system allows residents to have a better clinic and ward experience and maintain continuity with their panel of patients.