Internal Medicine Residency: Global Health / Primary Care Pathways

Intensive Training Opportunities in Primary Care and Global Health

About Pathways

After match, Internal Medicine residents can opt for one of our Pathways programs, which offer specialized training in addition to our core curriculum.

Primary Care Pathway

Launched in 2010, the Primary Care Pathway provides targeted training and career development for those Internal Medicine residents interested in primary care. Our curriculum focuses on outpatient management in urban and underserved patient populations.

Key Components

  • Block rotation: Participants spend four months of each year on a Primary Care Block rotation, which provides more experience in their own Continuity Clinic practices and time for sub-specialty ambulatory sessions. These include rotations in the following:
    • Health Care For the Homeless
    • Home Visits for their own primary care and geriatric patients
    • Medicine sub-specialty clinics such as Cardiology, Gastroenterology, Heme/Onc, Renal
    • Breast Cancer clinic surgery clinic
    • Additional primary care training at community clinic sites
    • Specialized primary care clinics focused on disease panel management (eg: Diabetes clinic, Asthma clinic)
  • Forum: Dedicated, weekly half-day didactic session during the PCP block with primary care focused journal club and collaborative teaching from physician faculty, nurses, pharmacists, and physical therapists about topics such as chronic care management, ambulatory procedures, and practice management.
  • Other experience: Primary Care Pathways participants also participate in a breakfast book club with guided discussions about the chosen book.  Previous books have ranged from Being Mortal by Atul Guande, to American Pain by John Temple.

Application Process

The Primary Care Pathway program accepts 2-3 residents per class. Applications are accepted after the match and participants are selected based on demonstrating a strong interest in primary care for the urban underserved. There are limited opportunities to join the pathway in the G2/G3 year as scheduling permits.

Internal Medicine Residency Global Health Doc with Somali Patient Photo

Global Health Pathway

After match, Internal Medicine residents seeking further experience with international health may apply for the Global Health Pathway program. The Global Health Pathway provides a rigorous and structured education in global health, focused on delivery of care in developing countries, and to immigrant and refugee populations. Program participants benefit from collaboration and learning at international sites, additional mentoring and guidance about careers in international medicine, and priority scheduling for international rotations.

Key Components

  • Structured curriculum based on ACGME core competencies.  A framework based on the ACGME core competencies of medical knowledge, patient care, communication, professionalism, and system-based practice guides the Global Health Pathway program. The program helps participants increase their awareness of health disparities and the many factors that influence health and disease; promotes cross-cultural sensitivity during clinical experiences; and fosters greater dialogue and professional development among residents, HCMC faculty, and other healthcare professionals.
  • Collaboration with University of Minnesota. Since 2006, HCMC and the University of Minnesota Medical School have combined resources to sponsor the Global Health Pathway. Participants attend the Global Health Course and Tropical and Travel Medicine lecture series held at the University of Minnesota, and have access to numerous international clinical sites who partner with the University.
  • Faculty mentoring in global health careers.  Additional training in international health opens the door to many career opportunities. Global Health Pathway participants meet twice annually with a designated faculty mentor for one-on-one guidance about their personal career interests.
  • Dedicated partner institutions. PGY-3 participants spend a one-month elective working at a healthcare facility outside the U.S. HCMC maintains established facilities at a number of sites around the world. Residents may also access the University of Minnesota’s international sites, work overseas with HCMC faculty, and in special circumstances, design their own elective experience.
  • Priority for international rotation opportunities. PGY-2 participants must use their elective to attend the Global Health Course held at the University of Minnesota, which then guarantees first priority in choosing an international rotation during PGY-3. Past Global Health Pathway locations include Cameroon, Costa Rica, El Salvador, Kenya, Madagascar, Nepal, Pakistan, Peru, South Africa, and Tanzania. (Residents are not limited to these locations.)

International Rotation Sites

Through HCMC’s partnership with the University of Minnesota, program participants can access a variety of partner institutions, including:

  • UCIMED in Costa Rica: A medical school with associated hospitals and clinics. Rotations include inpatient rotations on general ward services, consult services such as ICU and tropical medicine, research, and outpatient work. Conversational Spanish is required.
  • St. John’s Medical College in Bangalore, India: A medical school with a large hospital and multiple outpatient clinics on site. Rotations include research, especially in nutrition and infectious disease, ICU, public health, and general medical wards. English is spoken.

Global Health Pathway participants can also take advantage of institutional relationships held by the University of Minnesota, which include: Selian Lutheran Hospital in Arusha, Tanzania; Chiang Mai University in Chiang Mai, Thailand; and Makerere University in Kampala, Uganda.

Other possible sites include: the University of San Antonio in Cuzco, Peru and the University of the West Indies, in Jamaica.

Application Process

The Global Health Pathway program accepts two residents per class. Applicants should demonstrate a strong interest in a career overseas or in working with refugee and immigrant populations in the U.S. or a foreign country. International rotations are open to all Internal Medicine residents, however, preference is given to Global Health Pathway participants, followed by PGY-3 residents, then PGY-2 residents. Traveling residents are selected by formal application beginning in September of each year.

Important dates

  • July: Informational overview of Global Health Pathway program
  • September 1: Application opens
  • October 1: Application deadline
  • November 1: Participants selected
  • April: Applications due for international rotations

View the full program schedule and curriculum requirements.