Department of Internal Medicine
Residency Training Program
Phone: (602) 344-1218
Fax: (602) 344-1488
Email: karen_boettcher@medprodoctors.com
Information
Internal Medicine Residency Program Overview
The residency program in categorical Internal Medicine at Maricopa Medical Center is structured to train 16 clinically competent physicians each of who can function and excel in any internal medicine setting. Maricopa Medical Center serves as an emergency tertiary referral hospital for Maricopa Integrated Health System (MIHS) for the metropolitan Phoenix area and the state of Arizona.
Clinical competence and academic excellence is attained in the Department of Medicine by giving greater responsibility to the resident through exposure to the wealth of clinical pathology seen at Maricopa Medical Center and Mayo Clinic Scottsdale. Residents are supervised by more than 40 full-time board certified internists and specialists at MMC and 30 full-time board certified internists and specialists at Mayo Clinic Scottsdale and Mayo Clinic Hospital.
Residents write all orders and are fully responsible for patient management. Most hospitalized internal medicine patients are assigned to a general medicine, cardiology, HIV, or critical care teams consisting of one attending physician, residents and medical students.
During the 36-month training period, residents will rotate through every specialty of internal medicine, including neurology and dermatology. Residents are part of an ambulatory practice team and see their own patients at a Maricopa Integrated Health System Family Health Center located throughout Phoenix. Residents follow patients in and out of the hospital allowing for continuity of learning and patient care.
Approximately 45% of the training time in the Internal Medicine Residency Program is spent in the ambulatory setting getting direct teaching and supervision from generalists and specialists from Maricopa Medical Center (MMC) and the Mayo Clinic Scottsdale.
Residents are given a great deal of autonomy and opportunity for hands-on procedural experience commensurate with skills and training. Residents will become proficient in procedures common to Internal Medicine such as central venous line placement including Swan-Ganz catheterization, lumbar puncture, thoracentesis, paracentesis, large joint aspiration, flexible sigmoidoscopy, exercise treadmill interpretation, etc. Paramedical personnel perform most ancillary procedures such as venopunctures, electrocardiograms, x-rays, venopuncture for peripheral IV access, arterial puncture for blood gas and scheduling tests. This allows time to be spent evaluating patients, studying in the library or resting on call.
Program Director
Dr. Shannon Skinner is a graduate of Texas Tech University Health Sciences Center School of Medicine and completed her residency in Internal Medicine/Pediatrics at Maricopa Medical Center. She is currently the program director for the Internal Medicine/Pediatrics residency program at Maricopa Medical Center. She is board certified in both Internal Medicine and Pediatrics.
Affiliations
The residency program in Internal Medicine at Maricopa Medical Center is a major affiliate of the University of Arizona and the Mayo Clinic Scottsdale. Medical residents currently rotate at Maricopa Medical Center as well as Mayo Clinic Scottsdale. In addition, Internal Medicine residents from Good Samaritan Regional Medical Center, St. Joseph's Hospital and Medical Center, and Mayo Clinic Rochester and Scottsdale p eriodically rotate through the Department of Medicine at Maricopa Medical Center.
Highlights of the Program
- We have one of the highest 3-year ABIM Board pass rates in the state of AZ at more than 91%.
- Our Internal Medicine residency program has recently been given another 5-year full accreditation by the ACGME, the longest in the state of Arizona.
- MIHS has been given an institutional 5-year full accreditation by the ACGME
PGY-I YEAR
The categorical PGY-I year offers a set of basic primary care rotations which will enable the internal medicine resident to acquire superior patient management skills as well as build a solid general medicine base upon which to develop specialty knowledge. Residents will maintain a half day continuity clinic at a Maricopa Integrated Health System Family Health Center. Practical "hands-on" exposure mixed with regular didactic sessions are the norm. Residents may rotate to Mayo Clinic Hospital during the PGY-I year.
PGY-I Categorical Rotations - Fifteen working days (3 weeks) of vacation may be taken during the PGY-1 year. These are assigned based primarily on written requests.
- Internal Medicine Wards - 6 months
- Critical Care - 1 month
- Cardiology - 1 month
- Emergency Room - 1 month
- Ambulatory Care - 1 month
- Night Float - 1 month
- Electives - 1 month
Other Benefits
- $1,000 educational allowance
- Time off for approved CME
- Free meals
- Free parking
- Vacation - 3 weeks
PGY-II YEAR
During the PGY-II year, residents begin spending more time on subspecialty electives and focus on refining general medical skills. Residents are required to give a medical noon conference in a case report and literature review format which is printed and may be submitted for publication. Assistance is given by faculty advisors which are assigned at the beginning of residency.
Residents will rotate at Mayo Clinic Scottsdale during the PGY-II year. Residents will also maintain a half day continuity clinic at their Maricopa Integrated Health System Family Health Center.
Graduates of U.S. medical schools can obtain a state of Arizona medical license after one year of training.
PGY -II Rotations
- Internal Medicine Wards - 4 months
- Critical Care - 1 month
- Medical consults to Emergency Medicine - 1 month
- Ambulatory Care - 1 month
- Electives - 4 months, with a 2 week dermatology experience
- Night Float - 1 month
Other Benefits
- $1,250 educational allowance
- Time off for approved CME
- Free meals
- Free Parking
- Vacation - 3 weeks
Electives include Ambulatory Care, Endocrinology, Dermatology, Gastroenterology, Geriatrics, Hematology/ Oncology, Infectious Diseases, HIV, Medical Consultation, Neurology, Diagnostic Cardiology, Pulmonary, Nephrology, Rheumatology and Research.
PGY-III YEAR
During this year, clinical, academic and technical skills will be further developed. More time is available for elective rotations which may be done at outside institutions with approval from the program director and the Graduate Medical Education Committee. Further preparation for successful completion of the Certifying Examination of the American Board of Internal Medicine (ABIM) is done with monthly board reviews. Rotations involving experiences in gynecology, ophthalmology and orthopedics sports medicine are available. Residents will maintain two half day continuity clinics at their assigned Maricopa Integrated Health System Family Health Center.
PGY -III Rotations
- Internal Medicine Wards - 1 month
- Critical Care - 1 month
- Cardiology - 1 month
- Geriatrics - 1 month
- Neurology - 1 month
- Electives - 7 months
Other Benefits
- $1,500 educational allowance
- Time off for approved CME
- Free meals
- Free Parking
- Vacation - 4 weeks
PGY-IV (Chief Resident) Year
The Department of Medicine utilizes two PGY-IV residents to function as Chief Residents. They function as junior attendings and medical consultants. They also are responsible for coordinating morning report, residents' conferences and scheduling.
Other benefits given to Chief Residents include:
- $60,000 annual salary
- Time off for approved CME
- $2,000 educational allowance
- Vacation - 4 weeks
- Free meals
- Free parking
Chief Residents are usually selected from graduating third-year residents at Maricopa Medical Center based on their educational and research interests, as well as superior clinical abilities as judged by clinical faculty in the Department of Medicine.
Preliminary Medicine Description
We have four preliminary year positions available. The schedule is approximately as follows:
- 6 months - Wards
- 1 month - Critical Care
- 1 month - Cardiology
- 1 month - Emergency Medicine
- 1 month - Ambulatory Care
- 2 months - Electives
Other Benefits
- $1,000 educational allowance
- Time off for approved CME
- Free meals
- Vacation - 3 weeks
What Happens to Maricopa Residents?
Approximately two-thirds of our graduates from the Internal Medicine Training Program pursue careers in general medicine either in private practice, multi-specialty group practice, hospitalism or academic medicine. Many of the graduates practice in the Southwest in Arizona, California, Nevada and New Mexico. The remaining one-third pursues fellowship training at programs across the United States.
Fellowships
Graduating Class of 2009
- Nephrology - University of Alabama
Graduating Class of 2008
- Hematology/Oncology - McGill University, Montreal, Canada
- Nephrology - UCLA-Harbor
- Nephrology - University of Arizona, Tucson, AZ
Graduating Class of 2007
- Pulmonary/Critical Care - Scott & White with Texas A&M , Temple, TX
- Pulmonary - Mayo Clinic Hospital, Scottsdale, AZ
- Rheumatology - Case Western Reserve University, Cleveland, OH
- Nephrology - University of Arizona, Tucson, AZ
- Pulmonary/Critical Care - University of Wisconsin
Graduating Class of 2006
- Human Genetics - Children's Hospital of Philadelphia
- Nephrology - University of Minnesota
- Nephrology - Ohio State University
- Pulmonary/Critical Care - Penn State University, Hershey, PA
Graduating Class of 2005
- Endocrinology - University of Minnesota, Minneapolis, MN
- Nephrology - University of South Florida, Tampa, FL
- Geriatrics - Sun Health, Sun City, AZ
- Infectious Diseases - University of Connecticut
- Pulmonary/Critical Care - University of Missouri, Kansas City, MO
Graduating Class of 2004
- Hematology/Oncology - UT Memphis, TN
- Critical Care - Rush Presbyterian, Chicago, IL
- Critical Care - St. Vincent, NY
- Geriatrics - University of California, Irvine, CA
- Infectious Diseases - VA Greater Los Angeles Healthcare System, CA
Graduating Class of 2003
- Hepatology - Mayo Clinic, Scottsdale, AZ (2)
- Critical Care - University of Massachusetts
- Pulmonary/Critical Care - Good Samaritan Hospital/VA Medical Center, Phoenix, AZ
- Gastroenterology - Good Samaritan/VA Medical Center, Phoenix
- Gastroenterology - UT Memphis, TN
Graduating Class of 2002
- Infectious Diseases - Med/Peds - Brown University
- Nephrology - Kaiser Permanente, Los Angeles, CA
- Cardiology - VA Medical Center/Good Samaritan Hospital, Phoenix, AZ
- Cardiology - Mayo Clinic, Scottsdale, AZ
- Geriatrics - Sun Health, Sun City, AZ
Scholarly Activities
During the three-year training program, most residents participate in clinical research projects resulting in abstract presentations and journal publications. From 1992-2004, residents presented more than 120 abstracts at scientific meetings. In addition, MMC has had eight national finalists for the American College of Physicians (ACP) resident competition in the last five years. Also, residents have written more than 30 peer review articles and/or book chapters. Finally, the Department of Medicine participates in over 25 IRB research protocols at MMC.
Conferences
Conferences are an integral part of the training program and are given by both department faculty, residents, and nationally renowned speakers. Topics that review information essential for clinical competence in internal medicine are covered over a three-year period. A list of conferences and their scheduled frequency is listed below:
- Medical Morning Report - Daily
- Chief Residents Conference - Weekly
- Medical Noon Conference - Daily
- Ambulatory Clinic Lecture Series - Weekly
- Medical Grand Rounds - Weekly
- Tumor Board - Monthly
- Morbidity and Mortality Conference - Monthly
- Medical Journal Club - Twice Monthly
- Ambulatory Care Journal Club - Monthly
- Radiology Conference - Monthly
- Medical Attending/House Staff Conference - Monthly
Call Schedule
- Inpatient Medical Wards - Every 5th night call/One day off in 7
- Critical Care - Every 3rd night call/One day off in 6
- Cardiology - Every 3rd night call/One day off in 6
Benefits
2008-09 Stipends
- PGY I: $46,552.47
- PGY II: $48,186.26
- PGY III: $50,414.16
Available insurance for resident and dependents
- Health and Dental
- Life
- Occurrence Medical Liability
- Long Term Disability Insurance
Vacation
- PGY I - II: 21 calendar days
- PGY III - IV: 28 calendar days
Additional benefits
- 3 free meals a day, 7 days a week
- Free parking
- Lab coats
- Resident Educational Book Fund
Benefits Specific to Internal Medicine & Med / Peds Residency - PGY -I and PGY-II residents receive three weeks of paid vacation annually. PGY-III residents are given four weeks of paid vacation annually.
All Medicine residents may utilize the house staff travel and education fund provided by the Department of Medicine which is as follows:
- PGY-I $1,000 and one educational day*
- PGY-II $1,250 and two educational days*
- PGY-III $1,500 and three educational days*
- PGY-IV $2,000 and three educational days*
* Note: In addition to vacation
The Department of Medicine will pay for dues for all Internal Medicine categorical residents to become Associate members of the American College of Physicians (ACP). This is in addition to your educational allowance. We will also purchase:
- One Medical Knowledge Self-Assessment Program (MKSAP) per residency
- Subscription to UpToDate
- Evidence-/Based Medicine : how to practice and teach EBM by David L. Sackett
- Color Atlas and Synopsis of Clinical Dermatology : Common and Serious Diseases by Thomas B. Fitzpatrick
- The Washington Manual of Medical Therapeutics
- Users' Guide to the Medical Literature : A Manual for Evidence-Based Clinical Practice
Moonlighting opportunities may be available within the Department of Medicine at the discretion of the Program Director.
Application Process
National Resident Matching Program (NRMP) - The Internal Medicine training program participates in the National Resident Matching Program (NRMP). However, positions may be filled outside of the Match.
Medical students should apply through the NRMP for the categorical and preliminary Internal Medicine Residency positions at Maricopa Medical Center.
Checklist of Important Dates
- Submit applications through ERAS from September 1, 2008 through December 31, 2008.
- All application materials MUST BE submitted through ERAS, which is available through Medical School Dean's Offices or the Educational Commission for Foreign Medical Graduates (ECFMG) and must include USMLE scores from the National Board of Medical Examiners (NBME) and National Board of Osteopathic Medical Examiners (NBOME).
- Selected applicants will be offered interviews from November 1, 2008 through January 31, 2009.
ERAS - All applications for our residency programs must be sent through the Electronic Residency Application Service (ERAS). We will not be accepting any paper applications. Applications will not be reviewed until we receive USMLE transcripts through ERAS. We require a first attempt pass on all steps of the USMLE. Our institution does not sponsor visas.
If you have any further questions, please contact our Residency Coordinator, Karen Boettcher, at (602) 344-1218 or via e-mail at karen_boettcher@medprodoctors.com.
General Information - Candidates for the Internal Medicine Residency are judged on the basis of their academic background, three letters of recommendation and personal interviews.
Questions regarding our Internal Medicine Residency Program may be directed to Jaya Raj, M.D., Program Director or Karen Boettcher, Residency Coordinator at the following address:
Department of Internal Medicine
Maricopa Medical Center
2601 East Roosevelt Street, #OD10
Phoenix, AZ 85008
Phone: (602) 344-1218
Fax: (602) 344-1488
Clerkships/Observerships
A number of positions are available to third year medical students for general medicine wards and fourth year medical students for electives in Internal Medicine including general medicine wards, CCU, medical ICU and all medical subspecialties and ambulatory rotations. Due to a large competitive demand, medical students and observers are only permitted to do two four-week rotations during an academic year at Maricopa Medical Center.
Clerkship and observer information may be obtained by clicking here or by contacting:
Ana Padilla, Clerkship Coordinator
Maricopa Medical Center
Department of Internal Medicine
2601 East Roosevelt Street, #OD10
Phoenix, AZ 85008
Phone: (602) 344-5768
Fax: (602) 344-1488
Email: ana.padilla@hcs.maricopa.gov
Faculty
- David B. Wisinger, M.D., FACP
Chairman, Department of Internal Medicine
Chief, General Internal Medicine
Director, Long Term Care and Geriatrics
- Shannon Skinner, M.D.
Director, Residency Program
Cardiology
- Jay Kaufman, M.D.
Chief of Cardiology
- Christian Breburda, M.D.
- Mehrdad Saririan, M.D.
Critical Care
- Richard Carlson, M.D., Ph.D.
Director of MICU
Endocrinology
Gastroenterology
- Shiv Verma, M.D., Chief
- Jyostsna Ravi, M.D.
- Abdul Nadir, M.D.
- Erin Ford , PA
Geriatrics
- Anil Nanda, M.D., Director of MedPro Geriatrics Teaching Rotation
Hematology/Oncology
- Waqas Arslan, M.D., Chief
- Uwe Klueppelberg, M.D.
- Surahbi Amar, M.D.
- Ian Myers, PA
HIV Related Services
- John Post, M.D., Director
- R. Andrew Myers, M.D.
- E. Rene Prevette, A.N.P.
- Michelle Lamendola, A.N.P.
Infectious Diseases
- Yasuhiro Nakatani, M.D., Chief
Internal Medicine
- Shannon Skinner, M.D.
Residency Program Director
- David Wisinger, M.D.,
Chief, General Internal Medicine, Chairman
- William Dachman, M.D.,
Director, Hypertension Services; Associate Program Director
- Shannon Skinner, M.D.,
Associate Program Director
- Jorge Armenta-Corona, M.D.
- Sunitha Bandlamuri, M.D.
- Saeed Behbahani, M.D.
- Stephanie Berkshire, D.O.
- John Carroll, M.D.
- Ilko Ivanov, M.D.
- Steve Kaplan, M.D.
- Nancy McNeill, F.N.P.
Same Day Clinic, MIHS
- Stephen Meenahan, D.O.
- Maher Mousa, M.D.
- Lakshmi Murthy, M.D.
- Doug Nelson, M.D.
- Jeffrey Parker, M.D.
- John Prieve, D.O.
- Gary Russell, PA-C
Same Day Clinic, MIHS
- Yamini Sabesan, M.D.
- Bruce Takahashi, D.O.
- Roselyne Vutien, M.D.
- Tina Younger, M.D.
Internal Medicine / Pediatrics
- Shannon Skinner, M.D., Program Director, Internal Medicine/Pediatrics
- Tina Younger, M.D.
- Roselyne Vutien, M.D.
Nephrology
- Jan Mangalat, M.D., Chief
- Andrew Cortez, D.O.
Neurology
- Marc Merroto, M.D., Chief
- James Richards, M.D.
Pulmonary
- Jasminder Mand, M.D., Chief
- Syed Zaidi, M.D.
Rheumatology
- Bert Hurowitz, M.D., Chief
Last updated on
November 7, 2008
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