About the Program

The Ohio State University Department of Internal Medicine provides a unique and dynamic learning environment for residents, stressing the importance of clinical excellence and dedication to scholarship. Our residents are encouraged to participate in faculty-mentored research experiences culminating in national and special local research day presentations.

Our residency was selected as one of the initial seventeen Educational Innovation Project (EIP) programs in the nation asked to explore innovative strategies to train competent physicians in our discipline. Our program is geared toward exposing our residents to realistic outpatient and inpatient rotations that facilitate career planning. We provide options for a regular categorical track, a primary care track, a Physician Scientist Training Program, a combined Internal Medicine/Pediatrics Residency and an Emergency Medicine/Internal Medicine Combined Residency.


Our fellows work with eight primary care geriatricians. In 2016, our team of geriatricians saw 7,500 outpatients, cared for 1,835 inpatients and visited 377 patients in transitional care organizations. Ohio State University Wexner Medical Center is a 971-bed, medical and surgical teaching hospital with over 45,000 admissions in 2014. OSU’s emergency room, with over 120,000 annual visits, opened an 8 bed Geriatric Unit in 2015. Nationally ranked in seven adult specialties and “high-performing” in another eight adult specialties, including geriatrics (which currently is ranked 44th in the country), OSUWMC has led the Midwest region for 22 years in US News & World Report’s “America’s Best Hospitals” rankings. Our College of Medicine ranks 12th in the country among public universities in the magazine's "America's Best Graduate Schools.” On Best Doctors Inc.'s most recent "Best Doctors in America" list, 79% of the central Ohio honorees were Ohio State faculty. Adopting Epic in 2011, OSUWMC has been recognized as one of the nation's “Most Wired Hospitals” 11 times by Hospitals & Health Networks magazine, more than any hospital in Ohio. A medical research powerhouse with more than 20 centers and institutes, including a new Brain and Spine Hospital that opened in 2016, OSUWMC conducts more than 1,000 active research studies in virtually every medical specialty. Despite being the only academic medical center in central Ohio, OSUWMC provides more than $170 million in charity care and community support each year. Applications accepted through ERAS. Contact Shannon Libby, Geriatrics Fellowship Program Coordinator with questions @ shannon.libby@osumc.edu. 
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    Each Ohio State internal medicine resident has the opportunity to individualize his or her learning plan to align with passions and career goals.
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    Residents choose Ohio State for the collaborative, friendly learning community composed of colleagues they respect and can trust with their patients.
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    Our residents discover that hard work on a clinical question or project can result in becoming more than the local expert on an issue. Many find themselves presenting their results at national or international specialty meetings or publishing in leading journals.
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    Early establishment of mentors is encouraged and facilitated by the design of our training program. We begin linking you with possible mentors during orientation.
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    Our residents discover that hard work on a clinical question or project can result in becoming more than the local expert on an issue.

Mentors in Internal Medicine

Early establishment of mentors is encouraged and facilitated by the design of our training program. We begin linking you with possible mentors during orientation. Based on career interests, interns are linked to faculty that can provide further advice and potentially guide the intern through a scholarly project as part of their career development elective and possibly additional months. These links are sometimes with the general and subspecialty attendings they work with on the wards. Often residents receive referrals from a director, chief resident or colleague.

Faculty mentors appreciate that time is allotted within the residency for research, quality improvement and/or educational scholarship and are eager to help. Trainees value the open access to mentors, role models, division heads and fellowship program directors.


Training Pathways

Training Pathways

Preliminary Year in Internal Medicine

A year of preliminary internal medicine is provided for individuals who match categorical residency positions at Ohio State for neurology, dermatology and physical medicine and rehabilitation and for those who match Ohio State’s ophthalmology residency program. As of the 2018 Match there are no plans to offer preliminary internal medicine positions that are not connected to these OSU specialty matches. 

All prelims undergo orientation with the categorical interns, are assigned a series of inpatient ward rotations divided between the main university hospital, University Hospital East, cancer hospital, heart hospital and brain and spine hospital, and participate on the night team. They may elect to do a critical care rotation, and may choose among a list of ambulatory and inpatient electives. Receiving specialty departments designate whether some of the elective rotations are earmarked for specialty exposure (such as a dermatology clinic assignment for dermatology prelims and neurocritical care and ambulatory neurology for neurology prelims). Ophthalmology prelims participate in 3 4-week ophthalmology preparatory blocks, while other prelims may apply for a research block. By the end of this year, preliminary trainees can confidently evaluate new patients with concise, insightful histories and complete physical examinations. They can assimilate data to arrive at accurate diagnoses and develop appropriate therapeutic plans. They are confident first responders to complicated internal medicine problems, know their way around our large medical center, and develop positive working relationships with internal medicine and non-internal medicine colleagues. Those successfully completing the year have one year of credit reported to the American Board of Internal Medicine. They are valued members of the Ohio State University Internal Medicine Residency Team!

Program Basics

Inpatient Rotations

Resident Inpatient Rotations

Resident Inpatient Rotations

The Ohio State University has long featured an inpatient subspecialty ward system. During their residency training, residents rotate through a variety of general internal medicine and subspecialty inpatient services. Residents learn to care for patients from experts in their field. Our residents are passionate about this service structure. They find that it is easier to learn when the clinical and educational experiences are concentrated in a given field for a block at a time.

Rotation Structure

Inpatient rotations take place in a wide variety of hospitals:
  • The University Hospital (UH)
  • The Ross Heart Hospital (RHH)
  • The James Cancer Hospital and Solove Research Institute (OSUCCC)
  • University Hospital East (UHE)
UH, RHH and OSUCCC are all located on the campus of The Ohio State University. University Hospital East is located approximately six miles away in downtown Columbus. These four hospitals provide a terrific spectrum of patient acuity and pathology. At the end of three years, our residents are proficient in caring for inpatients and ICU patients in both community and tertiary settings.
 
Senior residents are the team leaders and have a significant amount of autonomy in the daily evaluation and management of patients. We strongly believe in resident led work rounds, allowing for the initial patient assessment and management plan to be developed by the house officer. The attending physicians participate with residents, interns and medical students on daily teaching rounds and have been repeatedly recognized for their support and dedication.

MICU Rotation

Our MICU rotation is one of the most popular rotations. In this busy environment, the residents care for critically ill patients under the guidance of fellow and faculty physicians who consistently win teaching awards. All residents are coached in proper procedural technique and get many opportunities to insert venous and arterial lines, and manage airways.

Call Structure

Our call structure is designed to provide outstanding patient care and give residents the rest they need to stay sharp and focused on their important work and to continue to read about their patients. We have a call structure with ward interns and residents not taking overnight call on any service. Interns and residents rotate on a night team that works from 6 p.m. to 7 a.m., Sunday through Thursday. We have interns and residents on consults and clinic blocks who work one weekend of night team on Friday and Saturday nights. Interns and residents on inpatient services still take call on the weekends, but instead work from 7 a.m. to 6 p.m., when the night team arrives.

Inpatient Ward Services - General and Specialty

  • Acute Coronary Service
  • Congestive Heart Failure
  • General Cardiology
  • Hematology
  • Oncology
  • Undifferentiated Cancer Service
  • General Medicine
  • General Medicine-Neurology
  • General Medicine-Pulmonary
  • Hepatology
  • Medical Intensive Care Unit
  • Transplant Medicine
  • Night Team

Outpatient Rotations

Resident outpatient rotations

With the exception of hospitalists and critical care physicians, most internists will spend a substantial portion of their professional life in the outpatient environment. Even hospitalists and critical care physicians need an understanding of the types of conditions that can be effectively cared for in the outpatient environment so that they can plan for transitioning the care of their patients back to their colleagues in the ambulatory arena. Thus, training in the outpatient setting is an essential part of an internal medicine residency program.

Outpatient experiences include the Resident Continuity Clinic, the Columbus Veteran's Administration outpatient facility, primary care subspecialty private practice sites and a rural community health experience in Ohio communities.

Elective Opportunities

Elective Rotation Opportunities

Elective Rotation Opportunities

We provide the opportunity for residents to tailor their educational experience to build on their special interests and goals through the use of enrichment activities and electives. Elective rotations provide the opportunity for our residents to tailor their education to their individual career paths. Numerous opportunities are available for residents to increase their exposure to content areas of interest to them, both within and outside the Department of Internal Medicine.

Some electives occur exclusively in either the inpatient or outpatient environment; while others have clinical opportunities that are in both environments. Our residents will graduate as highly trained clinicians who also have gained additional “life skills” which will serve them well whether their subsequent home will be in academics or in private practice.

Inpatient Electives

  • Acute Leukemia Service
  • Airway Management
  • Bone Morrow Transplant
  • Cardiology Consults - UH and East
  • Diabetes Consults
  • Electrophysiology
  • Endocrinology Consults
  • Gastroenterology Consults
      
  • General Medicine Consults
  • Hematology/Oncology Consults
  • Hospital Medicine
  • ID consults - UH and East
  • Nephrology Consults
  • Neurology Consults
  • Pain/Palliative Consults
  • Pulmonary Consults - UH and East

Outpatient Electives

  • Advanced Pulmonary
  • Advanced GI
  • Allergy
  • Cardiology
  • Dermatology
  • Endocrinology
  • Gastroenterology
  • General Medicine
    
  • Geriatrics
  • Hematology
  • Medical Oncology
  • Infectious Disease
  • Independent Research
  • Integrative Medicine
  • Medical Education
  • Nephrology
      
  • Preventive Cardiology
  • Primary Care/Surgical Subspecialty
  • Pulmonary/Sleep Medicine
  • Quality Improvement
  • Rheumatology
  • Sports Medicine
  • Women's Health
  • WoundClinic
Non-Clinical Electives

Non-Clinical Electives

OSUWMC offers a number of electives which help residents develop non-clinical skills that are career enhancing or may help them decide on a particular type of career. These electives are constructed for the individuals and thus require advanced planning.

Independent Research

A variety of opportunities exist for interns and residents interested in engaging in basic science or clinical research. Our faculty are outstanding mentors who have experience in identifying the types of projects in which residents will be successful. Residents may choose to maximize protected time by applying for the extended research elective.

Medical Education

Designed for residents interested in exploring the option of a career as a clinician educator, the medical education elective exposes residents to the variety of educational activities common to medical educators in academic centers. Residents choosing a medical education elective can learn curriculum development, participate in peer review of teaching for faculty and residents, develop skills in web based education and initiate an educational scholarship project. Residents can also participate in small group teaching of students in physical diagnosis, clinical problem solving, procedural skills and diagnostic test interpretation.

International Electives

We have residents who participate in educationally rich international electives. Each year, on average, one to two residents take advantage of this option. They do most of the leg work setting it up, and this requires advanced planning. Examples include Lesotho, Guatemala, Honduras and Malawi.

The College of Medicine’s Office of Global Health Education is an excellent resource for advice in identifying possible sites for international electives. The directors have established relationships in many areas of the world, which can help in securing these international opportunities.

The Department of Internal Medicine has committed funds for travel scholarships for at least three residents to attend international electives each year.

Quality Improvement

Our quality improvement (QI) curriculum will further prepare residents for required small group projects they may choose to pursue during a QI project elective. Residents present their work at the department's annual Research Day and other regional, national and international venues.

Conferences

Educational Training Conferences

Educational Training Conferences

Our educational conferences are diverse in their content and format. Conferences are a core aspect of our resident training. Planned conferences help residents perfect their clinical problem solving skills and learn the critical background information and evidence that will help them become outstanding internists.

Grand Rounds

This weekly conference highlights recent advances in internal medicine and draws accomplished speakers and investigators from within the university, as well as around the world. Topics range from comprehensive updates on common clinical problems to pioneering research in internal medicine. Faculty, trainees, medical students and community physicians attend.

Morning Report

One case from an inpatient service is presented at each of these popular conferences. A program director or other attending physician and the chief resident facilitate an in-depth discussion about the presentation, physical exam, differential diagnosis, diagnosis and patient management of a particular disease process. The application of evidence-based medicine is role modeled, including a focused question of the day. This highly educational conference remains a favorite among housestaff.

Intern Huddle

Intern huddle is protected lunch time that provides learning for interns on busy ward services. The huddle offers a chance to connect with intern classmates. Residents cover their pagers.

Tuesday Conference Block

Three hours of educational activity are held in a block on Tuesday afternoons following a housestaff lunch. Residents on elective and CPB months are free of clinical duties on Tuesday afternoons to attend this conference. Tuesday inpatient rounding schedules are adjusted so that residents can finish most of their clinical work by noon (similar to a weekend day).

The content of the conference varies from session to session. Incorporated lectures include core topics in general and subspecialty medicine and:

Morbidity and Mortality
The traditional conference has been replaced with a resident peer review conference where residents use the tools of medical error root cause analysis and quality improvement to identify and correct problems that led to suboptimal outcomes for our patients. An emphasis is placed on systematic problem solving and prevention.

Journal clubs/evidence-based medicine
Journal clubs take several formats. One intent of this journal club is to teach skills of critical appraisal. We have a “rapid” fire journal club in our outpatient clinic that reviews a select group of recent journals and how they will impact on our practice of medicine.

Clinical Teaching Skills
A one-day retreat is held for interns preparing to be senior residents each spring. Leadership, supervision and teaching skills are addressed, including skills in evaluation, feedback and bedside teaching. Residents are invited to attend monthly Clinician Educator Lectures delivered by fellowship program directors.

Death and Dying
This conference is led by faculty from our Program in Palliative Care. This conference provides a forum for the residents to discuss difficult death and dying issues they face in their practice.

More +

Tuesday School

Tuesday school offers a flipped classroom interactive approach to learning that includes pre-reading, care-based discussions and senior resident facilitation under faculty guidance.

Intern Report

The current interns present a case and with one of the program directors facilitate an in-depth discussion geared towards the needs of the interns. This is a popular conference among the interns and allows each of them the opportunity to expand their differential diagnosis and management plans as well as become comfortable with presentations to a group of their peers.

Leadership Development Program

The residency program believes that a great physician is someone who has excellent patient care skills and exemplary leadership skills. In order to help residents develop all of the skills necessary to be a great physician, we have created the Leadership Development Program.

Development of the program is based on four guiding principles:
  • All physicians are leaders
  • Strong leadership skills make us better doctors and improve patient care
  • Leadership skills can and should be taught
  • Creating a culture that embraces leadership training is a critical step towards preparing physicians to lead complex, multidisciplinary teams

The Leadership Development Program will provide educational programming that is meaningful and applicable to residents' everyday practice. Through this programming, residents will be able to:
  • Describe how effective leadership is important in their practice and how their personal leadership skills impact patient care
  • Recognize their personal leadership skills and leadership preferences so that they can use them most effectively in different situations
  • Utilize new leadership skills in different settings so that they can more effectively cope with leadership challenges

OSU is committed to leading the way in advancing the quality and effectiveness of residency education. As one of the few programs in the country to provide an integrated leadership training curriculum within the residency program, we will continue to provide residents with unique experiences and opportunities that will allow them to become excellent physicians.

Contact:

Jared Moore, MD
OSU Division of General Internal Medicine
Martha Morehouse Pavilion, Suite 2335
2050 Kenny Rd.
Columbus, OH 43221
Jared.Moore@osumc.edu

Clinical Skills Lab

Special Tuesday afternoon sessions that allow further coaching of clinical and procedural skills using simulation tools, models and standardized patients/clinicians. Critical Care and Ambulatory Procedural Training sessions are facilitated by faculty and specialty fellows.

Ambulatory Noon Conference

Housestaff gather between outpatient clinics or continuity clinics daily at noon (except Tuesdays). They are introduced to a variety of outpatient care topics, such as hypertension management, diabetes care, and the evaluation of headache, etc. Ambulatory Journal Club is a highlight each month.

Educational Sites

Resident Educational Sites

Resident Educational Sites

Three of the educational sites for our residents are on the main OSU Campus (OSU Main). This central location makes it easy for residents to move between hospitals and to meet other professional students from the other university colleges. Faculty enjoy collaboration with other professionals from the Colleges of Pharmacy, Engineering and Public Health. Other educational sites are chosen off campus to provide residents with the diversity of patient experiences essential to the internist in training.

University Hospital

The University Hospital, known as Doan and Rhodes Hall to the residents, is the home to a majority of the inpatient care activities and services. UH serves as a secondary care hospital to the central Ohio community and a tertiary care hospital to patients from as far away as Pennsylvania, West Virginia, Kentucky and Michigan. Resident inpatient services include four general medicine services, one hepatology service and a solid organ transplant service. In addition, residents rotate through many consult elective months at the University Hospital.

James Cancer Hospital and Solove Research Institute

The James Cancer Hospital and Solove Research Institute opened in December 2014 and includes integrated spaces for research, education and patient care. "The James" as it is known to the residents, is the clinical home of the vast majority of patients with an established diagnosis of cancer as well as those patients with benign hematologic conditions such as sickle cell anemia, TTP, ITP and other diseases. Three of the department's hematology/oncology services are staffed by the medicine housestaff. Hematology 1 cares for patients with lymphoma, myeloma, chronic leukemias and benign hematologic disorders. Hematology 5 cares for undifferentiated cancers. Oncology 1 cares for patients with solid tumors requiring inpatient care. Elective rotations in bone marrow transplantation and acute leukemia are available for interested residents. The James is also home to the Critical Care Center and is where the residents rotate for the MICU service.

The Richard M. Ross Heart Hospital

The Ross Heart Hospital opened in 2004. Each patient care room has the capability of changing into an intensive care room whenever needed by the patient. Residents provide care on a general cardiology service, one acute coronary syndrome service and one congestive heart failure service. Experience with electrocardiology services are also available during elective consultative rotations.

University Hospital East

Located approximately six miles away from the main campus, University Hospital East is a community hospital in the heart of inner city Columbus. The two general medicine ward services have one intern and one resident. Residents may also spend time on elective consult rotations in pulmonary, infectious disease, nephrology and cardiology. There is no overnight call at this site; nocturnal care of patients is provided by hospitalists. The spectrum of patients at this hospital is different than at OSU Main/University Hospital. Residents care for more patients with isolated problems, such as asthma or congestive heart failure.

Call Schedule

About our night team and swing shift call schedule

About our night team and swing shift call schedule

What's in a name? While you may catch us “slipping” and referring to this rotation as “Night Float,” we emphasize that those working at night are not simply babysitting patients but are providing essential patient care that contributes significantly to the patient’s experience and outcome, and that this care is delivered by a team—with members of the night team and day team working together. The educational experience at night is a valuable component of the overall curriculum.

Night Team Experience

When working at night, housestaff benefit from complete ancillary support and a senior resident who functions as a medical consultant.

Current workhour regulations are carefully adhered to at OSUWMC. To minimize handoffs, which are increasingly recognized as causing almost as many errors as does physician fatigue, we have designed a day team/night team system. Regular inpatient ward teams on general medicine and subspecialty services manage their patients from 7 a.m. to 6 p.m. each week day and until work rounds are finished on weekends and holidays. At 6 p.m., a dedicated night team appears and assumes responsibility for the ongoing management of the patients. Night teams work Sunday through Thursday night and have the weekend off. On the weekends, residents on inpatient services only take call from 6 a.m. to 7 p.m. We continue the night team theme by having interns and residents from clinic and consults cover from 6 p.m. to 7 a.m. on Friday and Saturday night. These residents will only work one weekend of night team per month while on consults or clinic blocks.

Swing Shift

Each weekday evening, one senior resident stays after clinic/elective to do late admissions until 12 a.m. so the work load for night teams remains reasonable.

Program Highlights

Our Educational Team

Our leaders

WiningerLeaders

David Wininger, MD

Residency Program Director

Dr. David Wininger has been on the OSU faculty since 1995, assuming the program director role in 2007 after four years as an associate program director. Linking residents with inspiring mentors is one of the joys of his job. He and his wife have four children.

MD: Indiana University School of Medicine 1989
IM Residency/ ID Fellowship: Duke University Medical Center
Primary Research: AIDS Clinical Trials

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AllenLeaders

Jennifer Allen, MD

Associate Residency Program Director

Jennifer has piloted many improvements in inpatient ward experience such as focused general medicine mini-lectures, tuning up progress notes and improved doctor-nurse-patient communication. 

MD: The Ohio State University, 2005
Residency: The Ohio State University, 2008
Division: Hospital Medicine

Kearns Leader

Lisa Kearns, MD

Associate Residency Program Director, Primary Care Track

Lisa is from Youngstown, Ohio. As the Director of the Primary Care Track, Lisa works with residents and medical students in the primary care setting.

MD:
Northeastern Ohio Universities College of Medicine
Residency: Summa Health System
Fellowship/MS: University of Chicago

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Moore Leader

Jared Moore, MD

Associate Residency Program Director

Jared joined the department to work in primary care. He leads the residency clinic at Martha Morehouse Medical Plaza and the Leadership/Management Training Program- an essential feature of the residency for categorical interns.

MD: The Ohio State University, 2008
Residency: The Ohio State University, 2011


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Baiocchi Leader

Robert Baiocchi, MD, PhD

Assistant Program Director for Research

MD: The Ohio State University
PhD: State University of New York at Buffalo
Residency: The Ohio State University
Fellowship: The Ohio State University
Division: Hematology

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Risaliti Leader

Carleen Risaliti, MD

Assistant Program Director

MD: Georgetown University School of Medicine
Residency: The Ohio State University

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Patel Leader

Chirag Patel, DO

Assistant Program Director for Quality Improvement

DO: Nova Southeastern University College of Osteopathic Medicine
Residency: Mount Carmel Health System

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Redman Leader

Charles Redman, MD

Director of Coaching and Remediation

MD: The Ohio State University, 2006
Residency: The Ohio State University, 2010
 

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Dooling leader

Patrick Dooling, MD

Chief Medical Resident

Patrick graduated from The University of Notre Dame with a major in Biology and a double minor in Business and the Philosophy of Science. He attended medical school at The Ohio State University where he completed a residency in Internal Medicine. He plans to pursue a career in Hospital Medicine and is interested in staying involved in medical education.

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Garrett Leader

Zachary Garrett, MD

Chief Medical Resident

Zach Garrett grew up in Parkersburg, WV. He received a Bachelor of Science in biology and Bachelor of Arts in chemistry at West Virginia University. He attended medical school at WVU and moved to Columbus in 2014 for residency. He plans to pursue a fellowship in cardiology after chief year.

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Koenig

Kristin Koenig, MD

Chief Medical Resident

Kristin is from Akron, Ohio. She earned a Bachelor of Science in Biology from Georgetown University in DC, then moved back to Ohio for medical school. In undergrad she completed a thesis in breast cancer research, and pursued mostly GI cancer research during residency. She plans to pursue a fellowship in Hematology/Oncology after her chief year.

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Staff

Contact

David Wininger, MD
Residency Program Director
David.Wininger@osumc.edu

Kiki Chamberlain
Residency Manager
Kristin.Chamberlain@osumc.edu
614-293-7932

Kimberly Roesch
Intern Recruitment Coordinator
Kimberly.Roesch@osumc.edu
Phone: 614-293-9812
Fax: 614-293-9789

Drake Sproull
Program Assistant
William.Sproull@osumc.edu
614-366-7141

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