Philosophy and Approach
Sinai Hospital's internal medicine residency program emphasizes compassionate care for patients in an environment of disciplined learning. Our graduates complete their training with a strong sense of confidence and a commitment to the principles and practice of internal medicine.
Our Philosophy
We believe that the physician leaders of tomorrow will need a connection not only to their individual patients, but also to the communities they serve, along with a firm grasp on health care policy and practice within the larger global community. In today's challenging healthcare environment, physicians are required to practice in a cost-conscious manner and be heavily invested in the quality improvement process, areas that we emphasize throughout our residency training.
Diversity of Experience
Sinai Hospital is the largest community teaching hospital in Maryland, providing state-of-the-art medical care for an active heterogeneous patient population in Northwest Baltimore. While committed to improving the health of individuals in the local community, Sinai Hospital is also a destination for referred patients from areas outside the immediate region, including western Maryland and southern Pennsylvania. The Department of Medicine at Sinai has a tradition of excellence in patient care, teaching and research that goes back more than 140 years.
Our large, multidisciplinary full- and part-time faculty provide close supervision for acute-care patient units, critical care units, the emergency room, long-term care and outpatient practices. Chief-resident led morning reports, faculty-led teaching rounds and noon conferences, as well as a wide variety of research, ambulatory and elective opportunities, complete the residency experience. Our core curriculum covers all areas of medicine and includes special topics of quality improvement, cost-conscious care, professional development and medical ethics.
Strong Partnerships
Sinai’s Graduate Medical Education Committee sponsors six residency programs across various specialties, of which, the internal medicine program is the largest, comprised of 57 residents and two PGY-4 chief residents. Sinai Hospital is home to the Regional Medical Campus of George Washington University School of Medicine and Health Sciences. Residents in Internal Medicine have opportunities to work with students from George Washington University as well as Johns Hopkins University School of Medicine as a core teaching site. Core faculty members have teaching appointments at both the Johns Hopkins School of Medicine and George Washington University
Accredited Best Practices
Our program is fully accredited by the Accreditation Council for Graduate Medical Education (ACGME) and adheres to all ACGME guidelines for internal medicine residency programs. For Internal Medicine, there is no overnight call on any rotations completed at Sinai due to the support of a dedicated night float team on the medical floors and intensive care unit.
Available Tracks for Applicants
The residency program is comprised of 48 categorical residents and 9 preliminary interns. For prospective applicants, there is one categorical track (3 year track) and preliminary internal medicine tracks available (1 year track). The preliminary tracks available are:
- Preliminary Internal Medicine
- Joint Advanced Program with Johns Hopkins Hospital - Anesthesia
- Joint Advanced Program with Sinai Hospital of Baltimore – Physical Medicine and
Rehabilitation
The purpose of Joint Advanced Programs is to allow trainees to become familiar with the
community of Baltimore, Maryland to facilitate a smoother transition and greater continuity
of care between the preliminary program at Sinai Hospital and the advanced program.
Real-World Learning
All residents are required to complete one-third of their residency training in an ambulatory setting. Nurses and technicians provide support for the house staff by taking responsibility for IVs, phlebotomy and patient transport, allowing Sinai residents to function as physician-managers of the patient care team.
Sinai Hospital has a fully implemented electronic medical record system for all clinical areas, both inpatient and outpatient, including the residents’ continuity clinic. The hospital also has liberal computer access throughout the campus, permitting rapid access to medical records, test results, information databases and imaging studies
.
Research
Our residents have access to clinical decision support tools such as UpToDate 24/7. There are resources to electronic access of our Eisenberg Medical Library and team members available to assist in optimizing literature searches. Internal Medicine residents have gained national recognition for scholarly activity presented to American College of Physicians, CHEST, ASCO, and more. As a competitive team in a statewide academic competition, Maryland Doctor’s Dilemma, sponsored by the American College of Physicians, the Internal Medicine Residency Program has been named state champions and represented Maryland at national competitions on multiple occasions.
Simulation Lab
Sinai Hospital of Baltimore is also home to our state-of-the-art Simulation Center dedicated towards advancing and enhancing the clinical skills of all residents. The Simulation Lab provides a controlled, safe, and dynamic environment where residents can practice and refine rapid response scenarios , diagnostic, procedural, point of care ultrasound and communication skills through simulation scenarios. With this, residents can experience a wide range of clinical situations without risk to patient safety.
Scholarly Activity
Sinai’s internal medicine residents have gained national recognition for their scholarly activity. Many residents have been published in high-impact journals and have presented at national conferences. We have always been extremely competitive in the Maryland Doctor's Dilemma competition, a statewide academic competition among residencies sponsored by the American College of Physicians. Our team has been named state champions and represented Maryland at national competitions on multiple occasions.
Our internal medicine residency program emphasizes compassionate care for patients in an environment of disciplined learning. Our graduates complete their training with a strong sense of confidence and a commitment to the principles and practice of general internal medicine, gaining direct experience in medical research.
Program Highlights
Sinai Hospital of Baltimore’s Internal Medicine Residency Program has a strong affiliation with the George Washington University Medical Center – Regional Medical campus and with Johns Hopkins University School of Medicine. Residents in our program gain extensive clinical experience by working with patients in inpatient and ambulatory settings at Sinai Hospital, as well as select rotations at The Johns Hopkins Hospital.
Our program highlights include:
- Direct supervision on all rotations by distinguished Sinai faculty members with academic
appointments from Johns Hopkins Hospital and/or George Washington University School of
Medicine and Health Sciences - Around the clock, in house attending physician coverage
- A comprehensive curriculum encompassing all internal medicine topics in a systematic matter
- Competitive fellowship and post graduate employment placements in numerous fields and
specialtie - A fully equipped simulation lab used to prepare residents to manage rapid responses, practice
procedures, and learn point of care ultrasound (POCUS)
Internal Medicine Residency Program Facts
- In 2025, the program received nearly 6,000 applications to review
- Our residents have a high success rate matching in fellowship programs across the nation (ex.
Brown University, Mayo Clinic, Cleveland Clinic, National Institutes of Health, and more)
LifeBridge Health System Facts
LifeBridge Health is a diverse community of 26,000 faculty, staff, students, trainees and volunteers from around the world, with more than 13,000 employees. LifeBridge Health has more than 2,700 credentialed physicians within its network and is home to the Regional Medical Campus of the George Washington University School of Medicine and Health Sciences.
LifeBridge Health operates five hospitals (Sinai Hospital, Northwest Hospital, Carroll Hospital, Grace Medical Center, and Levindale Hebrew Geriatric Center and Hospital) with 1,052 pediatric, adult and psychiatric beds. Sinai Hospital of Baltimore is the largest community hospital in Baltimore, Maryland and is a Level II Trauma Center.
The Curriculum
Educational Mission
Sinai Hospital's internal medicine residency program provides residents with a three-year categorical curriculum, emphasizing the skills required to practice general internal medicine and the proficiency needed for board certification.
Our curriculum covers all subspecialty areas of medicine as well as topics related to medicine, nutrition, ethics and research, among other areas. Our goal is to foster lifelong learning in a supportive and friendly environment. Our residents enjoy a close relationship with faculty members and have easy access to numerous basic and clinical research projects on site. Graduates going on to fellowships view this as a valuable springboard to a successful subspecialty career, while graduates planning to practice general internal medicine find that this pragmatic experience equips them well for clinical practice. All of our didactics embody the principles of evidence-based medicine and high-value care.
Curriculum Objectives
Ambulatory Medicine
This training experience is designed to teach residents the essential aspects of ambulatory medical practice and the principles of managed care. Residents see their own patients throughout the three-year program and work closely with ambulatory preceptors who ensure they acquire the necessary knowledge and skills to practice outpatient internal medicine. Many electives are available that reinforce or expand the scope of training in ambulatory practice. Training at a community-based practice site is an essential building block of the resident’s training experience, and opportunities within the Sinai program are plentiful. Ambulatory experiences are provided in a variety of specialty areas, including: orthopedics, ophthalmology, rehabilitation, cardiology, pulmonology, gastroenterology, nephrology, and gynecology. A self-directed, computer-based ambulatory curriculum is used to augment the learning process.
Inpatient Medicine
The curriculum in inpatient internal medicine gives residents an opportunity for autonomy in diagnostic decision-making and care of acutely ill patients. The diversity of the patient population served by Sinai Hospital encourages residents to learn the delicate interplay between social circumstances and the management of complex illness. Residents will have the opportunity to provide ongoing care for these patients following discharge in their office practice. PGY-2 and PGY-3 residents will further their medical education by supervising the work of PGY-1 residents on the patient care units and teaching medical students from The Johns Hopkins University School of Medicine and George Washington University School of Medicine and Health Sciences.
Critical Care Medicine
Residents learn to manage patients with cardiovascular disease and other complex, critical illnesses in the Intensive Care Unit. Residents are given significant autonomy in patient care decisions and medical procedures. Cardiology and critical care faculty provide teaching and case-based supervision in settings where a core understanding of pathophysiology is emphasized.
Representative Resident Rotation Schedule
Residents are assigned 13 four-week rotation blocks, with each rotation lasting either two weeks (0.5 block) or four weeks (1 block). A representative schedule for the three-year curriculum is shown below:
PGY-1 (Preliminary): Rotations
- Inpatient General Medicine: 4 to 4.5
- Critical Care: 2
- Elective: 3 to 4
- Emergency Medicine: 0.5 to 1
-
Night Float: 1.5 to 2
Vacation: 1
PGY-1(Categorical): Rotations
- Inpatient General Medicine: 4-4.5
- Critical Care: 2
- Elective: 2.5-3
- Inpatient Selective: 1
- Emergency Medicine: 1
- Ambulatory Medicine: 0.5
- Night Float: 1.5-2.0
- Vacation: 1
PGY-2 (Categorical): Rotations
- Inpatient General Medicine: 3.5-4.5
- Critical Care: 2
- Elective: 3
- Night Float: 1
- Cardiology Selective/CCU: 1
- Solid Tumor Oncology at Johns Hopkins Hospital: 1
- Geriatric Medicine: 1
- Vacation: 1
PGY-3 (Categorical): Rotations
- Inpatient General Medicine: 3-4
- Critical Care: 1-2
- Elective: 3
- Night Float: 1-1.5
- Ambulatory Medicine: 1
- Medical Consultation: 1
- Neurology: 0.5
- Renal Transplant Medicine at Johns Hopkins Hospital: 1
-
Vacation: 1
Please Note:
A call schedule is created at the discretion of the program director and varies based on inpatient clinical rotation. Electives must be approved by the program director and meet ambulatory requirements and individual needs. Only one four week away elective is allowed per academic year and required program director approval. For categorical residents, no more than one elective per year is allowed in Emergency Medicine. Critical Care experience represents six months of the three year categorical residency as allowed by RRC. The program director reserves the right to alter this schedule.
Teaching Conferences
Morning Report
Morning Reports are held Monday and Wednesdays at 11am. A resident presents a diagnostic dilemma and a
clinical pearl related to the case. The chief medical residents lead these sessions, with faculty joining
morning reports to provide expert opinions and teaching points when able .
Ambulatory Report
Ambulatory Report is held on Tuesday mornings virtually and presented by either an intern or a resident. A
wide variety of commonly encountered topics that span all areas of outpatient medicine are discussed here.
Teaching Rounds
Teaching rounds on hospitalist services are conducted daily by distinguished clinicians chosen for their
teaching abilities. These include bedside instruction and demonstration of physical examination skills as
well as didactic based chalk talks and more.
Critical Care Rounds
Daily multidisciplinary bedside rounds provide in-depth reviews of pathophysiology and patient
management. Education is also provided by the faculty lead of education of the Critical Care Unit.
Noon Conference
Using innovative educational methodology, residents are exposed to a comprehensive core lecture series
based on Harrison’s Textbook of Internal Medicine and American Board of Internal Medicine curriculum.
There is ample opportunity to discuss topics with knowledgeable faculty. Topics range from reviewing Rapid
Response scenarios and more.
Combined Report
A combined report is presented twice a month by an inpatient general medicine team during noon
conference. Team interns give a case presentation, and team residents discuss a teaching topic related to
the case.
Quality Improvement Conference
The Quality Improvement Conference (formerly known as Morbidity and Mortality Conference) is presented
monthly at the noon conference by the PGY-3 Medical Consult resident. The resident will review and present
a case (or a set of related cases), identify any system-related issues that were involved and offer potential
solutions. The discussion is then open to all house staff to provide their input. The goal of this conference is
to continue to improve patient care and patient safety.
Journal Club
Journal Club is held monthly at the noon conference by interns and residents. An article selected from a
leading medical journal is discussed, critiqued and analyzed to see how it would impact current medical
practice.
Clinico-Pathological Conference
Clinico-Pathological Conference is presented by a PGY-3 resident and held monthly at the noon conference.
The purpose of this conference is to review a diagnostic dilemma with the expertise of faculty of the
Department of Medicine, Pathology and Radiology for case review as necessary.
Medicine Grand Rounds
Medicine grand rounds are held on Thursday mornings in the fall through spring, consisting of a weekly
conference featuring nationally and internationally renowned speakers who address the most current
controversies and discoveries in medicine.