The Internal Medicine Residency program at NYU Langone, within its esteemed Department of Medicine, offers a dedicated primary care residency track meticulously crafted to cultivate exceptional, versatile primary care physicians. This program seamlessly integrates rigorous inpatient training with an extensive, formalized primary care curriculum and a rich tapestry of diverse outpatient clinical experiences.
Our mission is to empower the next generation of healthcare leaders, equipping them to not only navigate the complexities of an evolving healthcare landscape but also to deliver patient-centered, high-quality, and holistic care. We are deeply committed to addressing the unique healthcare needs of vulnerable populations, ensuring equitable and comprehensive medical attention for all.
This highly competitive 3-year program welcomes a select cohort of 8 residents annually, providing unparalleled training opportunities across NYU Langone’s renowned network of hospitals and healthcare facilities. These include Tisch Hospital, the state-of-the-art Helen L. and Martin S. Kimmel Pavilion, NYU Langone Hospital—Brooklyn, NYC Health + Hospitals/Bellevue, NYC Health + Hospitals/Gouverneur, and the VA NY Harbor Healthcare System. Our residents gain invaluable experience in community-based healthcare settings and actively engage in population health studies, broadening their understanding of healthcare delivery beyond the traditional hospital setting. A significant portion of the program, approximately 60 percent, is based at Bellevue, with the remaining 40 percent distributed across the other esteemed locations.
Graduates of our Primary Care Internal Medicine Residency Programs consistently achieve national recognition for their outstanding clinical preparedness. They embark on diverse and impactful careers in academic medicine, private and community-based healthcare practices, and public service, making significant contributions to the field of primary care.
For those interested in applying, the National Resident Matching Program® (NRMP®) code for our primary care residency track is 2978140M0.
Primary Care Track Details
The primary care residency curriculum is thoughtfully structured into blocks, each meticulously designed to achieve specific educational objectives. These blocks incorporate a blend of interactive learning activities, independent projects, and engaging resident-led conferences, fostering a dynamic and enriching learning environment. The program commences in the first year with the “Essentials of Primary Care (EPIC)” block, an intensive month-long immersion into the fundamentals of primary care. This foundational block emphasizes the diagnosis and management of prevalent illnesses and the principles of effective systems-based practice.
Building upon this foundation, subsequent blocks delve into specialized areas crucial for primary care physicians, including dermatology, gender health, clinical epidemiology, addiction medicine, geriatrics and palliative care, health policy, psychosocial medicine, and musculoskeletal medicine.
During ward months, residents are fully integrated into inpatient and ambulatory care rotations within the broader Internal Medicine Residency curriculum, ensuring a comprehensive and well-rounded training experience. Furthermore, in their second and third years, residents have a distinctive opportunity to select a third clinic as part of their ambulatory care block. This unique feature allows for personalized enrichment of their primary care training, catering to individual interests and career aspirations within primary care internal medicine residency programs.
Amount of Time Residents Spend in Training by Location
Image alt text: Bar chart illustrating the distribution of resident training time across different locations within the NYU Langone Primary Care Internal Medicine Residency Program. 60% of training occurs at Bellevue Hospital, while 40% is distributed among Tisch Hospital, Kimmel Pavilion, NYU Langone Hospital—Brooklyn, Gouverneur Hospital, and VA NY Harbor Healthcare System.
Our residents benefit from a wide spectrum of clinical experiences. Past residents have engaged in impactful work within Bellevue clinics specializing in hemoglobin A1C monitoring and diabetes management, congestive heart failure, hypertension, hepatitis, care for survivors of torture, the World Trade Center Health Program for first responders, and virology and HIV. Expanding beyond Bellevue, residents gain experience in diverse settings such as the acupuncture and urology clinics at NYC Health + Hospitals/Gouverneur, the NYU Student Health Clinic, and various private medical practices, offering a holistic view of primary care internal medicine residency programs.
A key component of resident development is the annual lecture requirement. Each resident delivers a lecture on a chosen topic, receiving constructive critique from peers and faculty, fostering presentation and teaching skills. Active participation in various conferences and events specifically designed for the primary care residency track further enhances their educational journey. Throughout the program, resident progress is meticulously tracked year by year, ensuring continuous professional development and growth within our primary care internal medicine residency programs.
To ensure the highest quality of education and personalized mentorship, we maintain a favorable one-to-three faculty-to-student ratio. This commitment guarantees individualized attention and optimal learning experiences for each resident in our primary care internal medicine residency programs.
Postgraduate Year 1
The first year of residency, designated as PGY-1, is intentionally structured to cultivate the fundamental clinical skills essential for becoming a proficient primary care physician. Interns focus on mastering deductive reasoning, establishing patient continuity, developing crucial psychosocial skills, and fostering effective working relationships with colleagues and staff across various disciplines.
Essentials of Primary Care 1.0 Block
The program’s cornerstone, the Essentials of Primary Care 1.0 block, is an immersive four-week intensive training experience. During this block, residents delve into the diagnosis and management of prevalent clinical conditions encountered in primary care settings, including hypertension, diabetes, asthma, hyperlipidemia, depression, and hepatitis B. Furthermore, the curriculum addresses common acute complaints, the utilization of interpreter services, electronic medical records proficiency, and effective team building strategies.
Through a dynamic blend of problem-based case studies, interactive learning sessions, objective structured clinical examinations (OSCE) for performance evaluation, video review for self-reflection, and traditional lectures, residents develop the comprehensive skills necessary for effectively managing the general primary care needs of patients. The overarching goal of this pivotal block is to firmly establish familiarity with the core pillars of primary care and to jumpstart clinical experience by instilling good practice habits from the outset in our primary care internal medicine residency programs.
Sample Essentials of Primary Care Schedule
| Time | Monday | Tuesday | Wednesday | Thursday | Friday |
|---|---|---|---|---|---|
| Intern Core | Grand Rounds | Clinical Reasoning Conference | |||
| AM | NYC Health + Hospitals/Gouverneur Clinic | Diabetes Overview | Effective Communication with Patients | Bellevue Clinic | Problem-Based Learning: Lipid Management |
| Diabetes Case Discussion | Management of Dyspepsia | The Well Visit | |||
| 12:00PM | Psychosocial Rounds | Journal Club | Essentials of Primary Care Clinicians | ||
| PM | Gouverneur Clinic | Gouverneur Clinic | Problem-Based Learning: Hypertension | Panel Management | NYC Health + Hospitals/Gouverneur Clinic |
| 3PM Conference |
Psychosocial Medicine
The psychosocial medicine block, spanning eight weeks, provides in-depth learning about the crucial doctor–patient relationship, medical ethics, and the multifaceted psychosocial aspects of patient care. Residents acquire the essential knowledge and skills to effectively manage common psychiatric conditions frequently encountered in primary care, such as depression, anxiety, substance use disorder, and somatization.
Teaching methodologies are diverse and engaging, incorporating group interviews, role-playing exercises, audio and video recording for self-assessment, and learner-centered techniques, ensuring a comprehensive and impactful learning experience within our primary care internal medicine residency programs.
Addiction Medicine
In the focused two-week addiction medicine block, residents gain a comprehensive understanding of substance use disorders from both clinical and public health perspectives. The curriculum emphasizes practical skills, including both pharmacotherapy and motivational interviewing techniques, essential for effectively treating individuals grappling with these disorders. Furthermore, residents complete specialized training in the prescription of buprenorphine and participate in clinical rotations at primary care buprenorphine clinics, providing hands-on experience in addiction treatment within primary care internal medicine residency programs.
Self-Directed Learning
The self-directed learning block is a valuable component offered annually throughout each year of residency training. This two-week block empowers residents to take ownership of their learning by choosing or designing a personalized learning experience within a specialty area of their interest. These experiences are diverse, ranging from clinical rotations and research endeavors to quality improvement initiatives. Many residents utilize this opportunity to delve into areas of particular interest that may not be extensively covered elsewhere in their core training. Others leverage this block to prepare for the unique challenges associated with specific primary care settings, such as rural or underserved communities, broadening their expertise within primary care internal medicine residency programs. Past resident experiences have encompassed areas such as social justice in medicine and courses in the medical humanities, reflecting the program’s commitment to holistic physician development.
Postgraduate Year 2
During the second year of residency, PGY-2, the focus shifts towards refining ambulatory care skills and seamlessly integrating evidence-based medicine principles into clinical practice. This is achieved through a diverse array of outpatient experiences, providing residents with practical application of their knowledge within primary care internal medicine residency programs.
Essentials of Primary Care 2.0
Building upon the foundational concepts introduced in Essentials of Primary Care 1.0, the four-week Essentials of Primary Care 2.0 block delves deeper into the “bread and butter” of internal medicine. While the first year may have focused on essential hypertension, this advanced block explores nuanced aspects such as different forms of the disease, including secondary causes and resistant hypertension. Furthermore, PGY-2 residents begin to develop their teaching abilities, discussing and practicing effective teaching strategies applicable to ward settings, honing skills essential for future roles in primary care internal medicine residency programs and beyond.
Musculoskeletal Medicine
This two-week block comprehensively addresses neurological, rheumatologic, and sports medicine complaints commonly encountered in primary care settings. Residents enhance their ability to effectively evaluate and treat a wide range of neurological and musculoskeletal conditions. Teaching modules are designed to refine musculoskeletal exam techniques and the performance of simple procedures, including joint injections. Specialty clinic rotations are conducted at both NYU Langone Health and NYC Health+Hospitals/Bellevue, offering diverse clinical exposure within primary care internal medicine residency programs.
Clinical Epidemiology and Medical Decision-Making
This six-week course provides the fundamental knowledge base for evidence-based medicine. Residents learn to critically appraise medical literature, apply quantitative decision-making techniques, and formulate and answer impactful clinical research questions. The course culminates in a research project, with many residents successfully presenting their work at national meetings, showcasing their scholarly activity within primary care internal medicine residency programs.
Gender Health
The four-week gender health course expands and refines residents’ knowledge of health issues specific to gender and sexuality through a combination of clinical experiences and interactive workshops.
Through resident- and faculty-led learning sessions and objective structured clinical exams, residents explore critical topics such as sexuality and sexual dysfunction, health disparities within the LGBTQ+ community, contraception options, menopause management, infertility challenges, common gynecological problems, and gender-specific cancer screening guidelines, ensuring comprehensive care within primary care internal medicine residency programs.
Sample Gender Health Schedule
| Monday | Tuesday | Wednesday | Thursday | Friday | |
|---|---|---|---|---|---|
| Grand Rounds | PGY-2 Resident Core | Clinical Reasoning Conference | |||
| AM | Reproductive Health Clinic | Prostate Health Lecture | Cervical Cancer Screening Lecture | Urology Clinic | Abnormal Uterine Bleeding Case Discussion |
| Endocrinology Clinic | Contraception Lecture | Osteoporosis Lecture | |||
| Transgender Health Lecture | |||||
| 12:00PM | Psychosocial Rounds | Journal Club | |||
| PM | Bellevue Clinic | NYC Health + Hospitals/Gouverneur Pap Test Clinic | Women’s Health Continuity Time | Home Visits | NYC Health + Hospitals/Gouverneur Clinic |
| 3PM Conference |
Global Health Electives
Global health electives, offering two- or four-week clinical, research, or teaching experiences abroad, are available to second- and third-year residents through NYU Grossman School of Medicine or external institutions. Residents also have the flexibility to design their own global health experiences, fostering international perspectives within primary care internal medicine residency programs. Further information about applying for global health electives is available through the provided link.
Dermatology
Residents dedicate two weeks to high-volume outpatient dermatology clinics at the VA NY Harbor Healthcare System and Bellevue, gaining practical experience in the diagnosis and management of common dermatological conditions and procedures relevant to primary care settings.
Community and Home Medicine
This two-week block focuses on the social determinants of health, equipping residents with the skills to effectively care for patients in the home environment. Residents complete a community health research project, involving conducting home visits with patients and exploring the broader health landscape of a community of their choosing, emphasizing community-based primary care within primary care internal medicine residency programs.
Postgraduate Year 3
The third and final year of residency, PGY-3, is designed to solidify the knowledge base, refine leadership and teaching capabilities, and further hone clinical expertise in specific areas of interest within primary care internal medicine residency programs.
Essentials of Primary Care 3.0
Essentials of Primary Care 3.0 provides a platform for in-depth investigation of landmark studies, discussions on managing patients with advanced diseases and multiple comorbidities, and participation in a deliberative practice curriculum to refine patient interviewing skills. Preparing residents for the transition beyond residency, the block includes a CV-drafting workshop and interactive sessions with residency alumni who provide invaluable insights into job applications and career pathways in internal medicine, specifically tailored for primary care internal medicine residency programs graduates.
Research Practicum
This immersive two-week experience allows residents to conduct a complete research project from inception to completion. Building upon the skills acquired during the clinical epidemiology block, residents collaborate with a research team to analyze a data set, develop a focused research question, and formulate a solution. With guidance from experienced research faculty, residents collaborate to write a research abstract and prepare a paper for publication, fostering research skills crucial for academic primary care within primary care internal medicine residency programs. Many residents successfully publish and present their research at national conferences.
Health Policy and Economics
The six-week health policy and economics course cultivates the knowledge and skills necessary to become effective patient advocates and to influence policy decisions shaping the healthcare system.
Taught by a diverse faculty comprising NYU Langone experts, politicians, managed care executives, and hospital administrators, this course is structured as a seminar series culminating in a comprehensive health advocacy project.
During impactful lobbying trips to Albany, New York, and Washington, D.C., residents engage directly with state and federal representatives, advocating for policy changes addressing specific health issues. Past resident projects have addressed a wide range of critical topics, including:
- formal incentives to recruit primary care physicians to underserved areas
- state legislation mandating palliative care offerings in all hospitals
- presumed consent for organ donation
- reimbursement mechanisms for advanced planning discussions between healthcare providers and critically ill patients
- Medicare-supported residency positions, demonstrating the program’s impact on healthcare policy within primary care internal medicine residency programs.
Geriatrics and Palliative Care
In this two-week block, residents master the specialized skills required to care for elderly and terminally ill patients. Experiences include working in geriatric clinics, conducting home visits, participating in didactic learning sessions, and undertaking field trips to nursing homes and hospice care settings. Palliative care topics are explored through patient consults and focused lectures, ensuring compassionate and comprehensive care within primary care internal medicine residency programs.
Musculoskeletal Medicine
Similar to the PGY-2 musculoskeletal medicine block, this two-week PGY-3 block further enhances the ability to evaluate and treat neurological, rheumatologic, and sports medicine complaints common in primary care. Residents refine musculoskeletal exam skills and procedural skills like joint injections. Specialty clinic rotations are offered at private orthopedic and rheumatology practices as well as Bellevue, providing diverse clinical settings within primary care internal medicine residency programs.
Leadership and Professionalism
This four-week course focuses on cultivating essential teaching and leadership skills aligned with residents’ career development priorities. The curriculum covers key topics such as precepting techniques, running effective meetings, and effectively working with medical students, preparing residents for leadership roles within primary care internal medicine residency programs and their future careers.
Conferences and Events
All residents in the primary care residency track at NYU Grossman School of Medicine’s Internal Medicine Residency program actively participate in resident-led conferences and various events alongside their peers and faculty, fostering a collaborative and enriching learning community within primary care internal medicine residency programs.
These educational experiences encompass case discussions, interactive seminars, bedside rounds, and didactic lectures, ensuring a multifaceted approach to learning. Conferences are recorded, allowing for review and reinforcement of key concepts. Residents also engage in video review of their performance and receive constructive feedback to further refine their teaching skills, enhancing their professional development within primary care internal medicine residency programs.
3PM Conference
During this 90-minute conference, residents hone their lecturing and teaching skills by presenting on a topic of their choosing to their colleagues. Faculty members provide guidance in developing their talks. Attendees evaluate each presentation, and residents receive structured feedback from faculty, fostering continuous improvement within primary care internal medicine residency programs.
Essentials for Primary Care Conference
In these concise 45-minute conferences, residents select from a curated list of core Essentials for Primary Care (EPIC) topics and prepare an engaging lesson for their colleagues. The format is flexible, but lectures typically focus on developing knowledge and skills directly applicable to outpatient settings, reinforcing practical skills within primary care internal medicine residency programs.
Psychosocial Case Conference
This weekly conference provides a forum to review patient cases, discuss diagnostic challenges, and reinforce and advance the skills developed during the psychosocial medicine block in PGY-1. Residents work collaboratively to develop effective patient care management strategies, debrief challenging cases, and deepen their clinical knowledge in psychosocial medicine topics, essential aspects of comprehensive primary care within primary care internal medicine residency programs.
Clinical Reasoning Case Conference
Primary care residents currently on their ambulatory block participate in this weekly morning conference. It serves as a platform to discuss complex patient cases and related questions, focusing on clinical reasoning processes and patient management strategies within primary care internal medicine residency programs.
Journal Club
During the weekly journal club conference, residents apply structured, evidence-based evaluation methods to current medical literature. Each resident prepares one or two presentations annually in an interactive conference format, developing critical appraisal skills vital for evidence-based practice within primary care internal medicine residency programs.
Primary Care Retreat
Faculty and residents come together for an annual two-day primary care retreat. This valuable event provides an opportunity to collectively review and reflect on the residency program, and to brainstorm innovative improvements. Considered a highlight of the year by many participants, the retreat catalyzes both incremental refinements and broader innovations within the program, ensuring continuous program enhancement for primary care internal medicine residency programs.
National and Regional Meetings
Third-year medical residents and those with research projects accepted for presentation as abstracts or posters receive departmental funding to facilitate travel to national meetings. Furthermore, financial support is provided for residents to participate in relevant training courses in New York City, as well as to attend regional conferences and other local meetings, fostering professional development and networking opportunities within primary care internal medicine residency programs.
Contact Us
The primary care residency track is expertly overseen by Jennifer G. Adams, MD. For further information or inquiries, please contact us at IMResidency@NYULangone.org.
Explore more about graduate medical education programs at NYU Grossman School of Medicine and access essential information for incoming and current house staff through the provided links.
