Internal Medicine and Pediatrics Residency Program at Mount Sinai

If you love taking care of both adults and children, you are right to consider residency training in Med-Peds. However, picking a program that is right for you can be challenging. Founded in anti-racist principles, our program is designed for students dedicated to primary care and social and racial justice. We are the only Med-Peds program in New York City and draw on the unique attributes of our medical school, hospital system, local community, and city to provide residents with a robust training experience.

Our program is considered by national leaders in medical education to be highly rigorous, providing excellent foundational training in a highly supportive environment with innovative longitudinal curricula and community partnerships.

Beyond academic rigor, our trainees’ wellness is part of the culture of our program and our institution. Med-Peds residents experience an integrated wellness curriculum, have access to a dedicated Wellness Advisor and are scheduled for opt-out wellness visits with a social worker. We also have a robust community of primary care physicians and trainees. It is part of our DNA and institutional mission. This program, along with our Internal Medicine Residency Primary Care Program and Primary Care Institute, is a natural extension of that mission.

Our main hospital’s location in East Harlem, at the intersection of one of the poorest and one of the richest zip codes in the country, provides a robust experience working at the intersection of medical complexity and social marginalization and oppression.

Diversity and Inclusion

The Departments of Medicine and Pediatrics are committed to the fair and equal treatment of all faculty, trainees and staff. We are proud to be trailblazers in our promotion of women, underrepresented minorities and members of the LGBTQ community into leadership positions in both departments and throughout this institution. Our Office of Diversity and Inclusion believes that we cannot be an institution dedicated to excellence without being a champion for ALL its members. This dedication reflects the culture of our institution at large:

• The Mount Sinai Health System is ranked #1 in health care diversity by Forbes and Diversity Inc.
• Seven of our health system hospitals have been named leaders in LGBTQ health care equality by the Human Rights Campaign.
• For the fourth year in a row, the Icahn School of Medicine has been recognized for its outstanding efforts in diversity and inclusion by INSIGHT Health.

Members from both departments actively participate in institutional and departmental diversity councils. These groups work with leadership, faculty, house staff, medical students, and staff at all sites throughout the health system to promote diversity and inclusion.

• The Department of Medicine works with the People’s Institute for Survival and Beyond to bring CME accredited Undoing Racism Workshop to our campuses.
• The Department of Pediatrics has formal anti-racist skills workshops for all house staff as part of its academic half-day curriculum
• Our Med-Peds program runs a home-grown longitudinal anti-racist curriculum for all Med-Peds residents and our residents are involved in teaching anti-racist clinical skills throughout the institution and beyond.

For more information on our institution’s deep commitment to diversity and inclusion please visit The Department of Medicine, The Department of Pediatrics and the Office of Diversity and Inclusion, as well as the Racism and Bias Initiative.

Learn more

We are proud of our unique clinical and educational curricula that build the necessary skills to provide care to patients with complex medical conditions within the context of social and structural drivers of inequities.  Our Med-Peds curriculum aims to provide residents with the knowledge necessary to care for patients of all ages across the continuum of care delivery environments.

Since our residency program aims to train Med-Peds physicians who will work in primary care our trainees will care for a panel of pediatric and adult patients in a combined continuity practice, and provide care in the office, in the community and in patients’ homes.  Highlights of the continuity care structure include:

• A 6+2 system (6 weeks of categorical rotations + 2 weeks of Primary Care)
• Additional half or full days in clinic on all rotations other than inpatient medicine and ICU rotations
• Dedicated time for panel management and population health 
• Dedicated time for home visits and street medicine
• Active management of resident panels to ensure an even distribution of pediatric and adult patients and visits

This innovative ambulatory clinical experience is supplemented by a robust primary care educational curriculum, wherein Med-Peds residents will participate in:

• Academic half days with ambulatory medicine residents while on primary care blocks
• Academic half days with medicine primary care and categorical pediatric residents while on elective blocks
• Longitudinal Med-Peds Conferences
• Weekly Grand Rounds in Homeless Medicine while on primary care blocks

Med-Peds residents will have additional educational sessions providing advanced knowledge and skills in domains specific to our program’s objectives. This includes a home visits panel in which all residents carry and manage a panel of adult and pediatric patients for whom they provide care at home. Supported by our Adult Visiting Doctors Program, our Pediatric Visiting Doctors and Complex Care Program and an ACGME Back To Bedside Grant, residents will care for a unique panel of patients including homebound elderly patients and patients with complex neuromuscular, genetic, metabolic and cardiopulmonary conditions. By bringing care to these patients residents will learn how to reduce inequities in patients with extreme medical complexity through patient-centered, team-based care, and by addressing the systems of oppression which often produce and perpetuate these inequities.

Innovative Curricula

Transgender Medicine: We provide a transgender medicine curriculum and clinical rotations in which residents will learn the fundamentals of care for transgender and gender diverse patients through a longitudinal curriculum and a rotation at Mount Sinai’s Center for Transgender Medicine and Surgery. Residents will have opportunities for additional clinical training in caring for adolescent TGNB patients through the Adolescent Health Center.

Homeless Medicine: Residents will learn the approach to providing effective care for adult and pediatric homeless patients through a longitudinal curriculum and dedicated clinical experiences. Residents will each have care for a panel of homeless patients, delivering care in the clinic, by partnering with a local shelter and school-based health program as well as through street outreach.

Mass Incarceration and Abolition: Through a longitudinal curriculum, including clinical and educational partnerships with Riker’s Island, Sheltering Arms and Fortune residents will learn the impact of mass incarceration on individuals, families and communities, and will learn about the unique challenges and opportunities to improve health by providing care to individuals living in and transitioning out of prisons, jails and other forms of detention. Residents partner with families and communities impacted by mass incarceration and participate in advocacy efforts to abolish mass incarceration and related forms of state surveillance or racialized communities.

Caring for People Who Use Drugs: Via training in the longitudinal substance use curriculum and clinical work, residents will have the opportunity to learn the fundamentals of caring for persons who use drugs, including those with opioid use disorder. This includes didactics and supervised patient care experiences in how to provide primary care-based buprenorphine treatment and strategies to help patients optimize safety and mitigate risk within a harm reduction model.

Refugee Health: Through a refugee health curriculum and clinical work residents become trained in medical evaluations of adults and children seeking asylum, participate in evaluations, and become effective in identifying and meeting the ongoing physical and mental health needs of refugees, asylum seekers and their families.

Population Health: Residents work alongside Internal Medicine Primary Care physicians to learn the fundamentals of population health work on the individual, local and national level and apply these skills to direct patient care and advocacy.

Dismantling Racism in Medicine: Through a longitudinal, Anti-Racist Clinical Skills curriculum residents learn to identify and challenge racism and other forms of bias at the individual and structural levels. These includes deconstructing scientific racism, mitigating the impact of racism and bias on patient outcomes and navigating biased patient behavior.

Advancing Idealism in Medicine: Finally, Med-Peds residents will participate in the same Advancing Idealism in Medicine, Quality Improvement and Evidence-Based Medicine curricula in which the residents in the Internal Medicine Residency Program at The Mount Sinai Hospital engage.

Attached are typical schedules for our residents for all four years of training.

Learn more

It’s not all about the work, after all. Learn more about housing, salary, benefits and life outside the hospital.

We fully participate in the National Residency Matching Program (NRMP).  Residents are not selected outside the match. 

• Personal Statement
  • Our program is designed for residents dedicated to primary care and to social justice. Applications that do not reflect these goals will not be considered for an interview.
• Medical Student Performance Evaluation (MSPE, “Dean's Letter”)
• Transcript
• USMLE Scores (Step I with application; Step II, when available) or COMLEX (we do not require both)
  • Of note – while required for your application, our selections committee is blinded to USMLE and COMLEX scores, and we do not use any score cut offs in our interview or rank list decisions.
• At least three letters of recommendation.  One letter should be from a medicine faculty member, one from a pediatrics faculty member and one letter of your choice.  We do not require letters from the Departmental Chairs.

Our NRMP Number is: 1490700C1.

Any other questions, please email Latoya Fyffe at latoya.fyffe@mssm.edu.