Internal Medicine-Pediatrics Residency Program

2024-2025 Med-Peds Residents Farewelcome event

Program by the Numbers

Program Years

Interns Accepted

Participating Faculty

Med-Peds Program Overview

The Combined Internal Medicine-Pediatrics (Med-Peds) Residency Program provides residents a comprehensive educational experience in both internal medicine and pediatrics. By rotating at three nationally recognized hospitals, residents learn in a supportive and intellectually stimulating environment that enables their career success.

Med-Peds interns gain a solid clinical foundation by rotating through inpatient, intensive care, ambulatory, and emergency department settings at Children’s Medical Center Dallas, Parkland Memorial Hospital, and William P. Clements Jr. University Hospital.

Increased supervisory responsibility is integrated as residents advance through the remaining years of training, as well as additional time for individualized curriculum blocks. Med-Peds training affords an array of career possibilities, and the program's individualized approach fosters development of each resident’s unique skills, interests, and passions.

Our People

Our Residents and Alumni Our Faculty Our Director Our City

Med-Peds residents alternate between internal medicine and pediatric rotations every three to six months. Interns gain a solid clinical foundation through inpatient, intensive care, ambulatory, and emergency department settings. As they advance through the program, residents are given increased supervisory responsibilities, as well as additional time for individualized curriculum blocks.

We welcome you to explore the nuances of our program and reach out to us if you have additional questions.

Program Mission and Aims

Provide a rigorous, high-quality, comprehensive, individualized, and culturally relevant training experience in Internal Medicine and Pediatrics that equips our graduating physicians to become clinicians, scholars, advocates, innovators, and leaders who will improve health care in our community and beyond.

Effectively weave together the key elements of categorical IM and Pediatric residency program curricula to create a comprehensive, well-integrated training experience that prepares residents to care for a diverse patient population across the lifespan.
Through effective collaboration with categorical programs, continue to expand and enhance innovative educational experiences focused on individualized resident training needs, including interests in primary care, hospital medicine, subspecialties, research, advocacy, global health, education, and quality improvement.
Foster a learning environment that values critical thinking, lifelong learning, dedication to compassionate patient care, health equity, practicing medicine with a sense of purpose, and engagement in health care system transformation, while also emphasizing the importance of maintaining personal health and wellbeing.
Promote development of each resident’s unique interests, passions, and skills to create focused career paths that enable each individual to uniquely serve within the next generation of outstanding Med-Peds physicians.

About the Program

Application Process
The Combined Internal Medicine-Pediatrics Residency Program accepts applications through the Electronic Residency Application Service (ERAS) offered by the American Association of Medical Colleges. Due to a holistic review process, interviews commence in early October.

Holistic Review Process

In an effort to interview a richly diverse pool of applicants who will thrive and continue to enhance the quality of program experience, reliance on assessment tools that perpetuate structural racism, unearned privilege, and implicit bias is minimized. Applicants are closely considered who have a range of diverse experiences in addition to clinical and academic performance. Consideration is given to how individuals might contribute to the overall educational environment and the larger community. Faculty reviewers have completed implicit bias reduction training workshops and follow established guidelines to promote a holistic and inclusive interview process.

Letters of Recommendation

Applicants must submit at least three letters, one or more of which must be from a department chair. If only one chair's letter is submitted, it is strongly recommend that it be from a chair of Internal Medicine. If two chair letters are included, it is recommended that a total of four letters are submitted, so that two letters are from individuals who personally know the applicant. It is strongly recommended that letters be submitted from people who have had the opportunity to observe the applicant closely in a clinical setting. Med-Peds experience is not required, but letters should collectively speak to the applicant's clinical experience in both Internal Medicine and Pediatrics.

Approach to Standardized Test Scores

Reviewers typically consider standardized testing performance (USMLE, COMLEX-USA) during the application review process. They holistically review applications to identify experience and attributes beyond metrics such as standardized test scores, as they seek applicants who are well-rounded and bring diversity of background and perspective to medicine. Such scores are considered only one element of the application and, as such, there is no score cutoff for interview consideration. If the applicant is applying from a college of osteopathic medicine, USMLE scores are not required for application.

Post-Interview Communication Policy

Because integrity and transparency are highly valued, National Resident Matching Program (NRMP) guidelines regarding post-interview communication are strictly followed. While post-interview communications are not sent routinely, program leadership remains available for follow up on issues discussed during the interview, answer questions, or provide additional information if it would prove helpful to the applicant.

International Applicants

Because UT Southwestern and its affiliated hospitals participate in the National Resident Matching Program (NRMP), all requirements specified by the NRMP must be met before an application is accepted. International applicants should contact the NRMP office, if they have not already done so:

National Resident Matching Program
2450 N. Street, NW, Suite 201
Washington, DC 20037-1141

UT Southwestern is also a participant in the Electronic Residency Application Service (ERAS), so applications outside the ERAS will not be accepted.

UT Southwestern's departments of Internal Medicine and Pediatrics accept only permanent residents or J-1 ECFMG certified visas. We do not offer H1-B visas.

To be considered, international applicants must meet the following:
- Successful completion of the USMLE
- Standard certification from the Education Commission for Foreign Medical Graduates (ECFMG) by January 31 of the year they enter residency
- U.S. clinical experience is (not required but is preferred)
- Medical school graduation date of 2013 or later. Exceptions are evaluated on a case-by-case basis.
- Four letters of recommendation. Two of those letters should be from the applicant's medical school. However, if an applicant has U.S. clinical experience, those recommendations are also encouraged.
Visiting Rotations/Observerships

We do not currently offer formal combined Internal Medicine and Pediatrics rotations for visiting students or observers; however, experiences may be available through either the Internal Medicine or Pediatrics department. For further information on how to apply, please contact the departments directly.
Interview Dates
We hold one-day interviews, though we encourage applicants to join our residents for virtual happy hour the Thursday night before.
The interview day will& be held virtually on the following Fridays from 8 AM to Noon, CST:
- October 25, 2024
- November 1, 2024
- November 8, 2024
- November 15, 2024
- November 22, 2024
- December 6, 2024
- December 13, 2024
- December 20, 2024
Once applicants receive an invitation to interview, interview slots will be scheduled on a first-come, first-served basis. We do not send out more invitations than we have interview slots. All applicants will receive notification of application decision by mid-November.
Salaries & Benefits
House Staff Stipends

Program Year Annual Stipend

Program Year 1 (PGY–1) $66,918

Program Year 2 (PGY–2) $69,431

Program Year 3 (PGY–3) $72,679

Program Year 4 (PGY–4) $76,493

Salaries and Benefites by site

Benefits
- Medical insurance*
- Pharmacy insurance*
- Vision insurance*
- Dental insurance*
- Accident insurance
- Disability insurance
- Life insurance
- Retirement income plan with contribution matching
- Parking
- Cellular phone discounts
- Lab coat laundry services
- Discounted tickets to local sporting and entertainment events
- In-house moonlighting opportunities available
- Resident Library – Recently updated with a dozen new PCs, color laser printer, fax machine, unlimited copying, and direct access to UT Southwestern Library's journal collection
- Residents' lounge – An oasis in the middle of it all; stocked with coffee, a refrigerator, a microwave, sofas, cable television, and a ping-pong table!
- Meal cards for overnight call responsibilities
- VPN accounts for home access to our hospital's medical records and library resources
- Lunch with daily noon conferences
- Annual stipend to cover conference attendance and other educational expenses
- UT System site license for Microsoft Office software
*Resident and dependent premiums are covered by residency program

UT Southwestern Medical Center is an equal opportunity, affirmative action employer. To the extent provided by applicable law, no person shall be excluded from participation in, denied the benefits of, or be subject to discrimination under any program or activity sponsored or conducted by The University of Texas System or any of its component institutions on the basis of race, color, national origin, religion, sex, sexual orientation, age, veteran status, or handicap.
Contiunuity Clinic
The Internal Medicine and Pediatrics Clinic, or Med-Peds Clinic, is a primary care practice where residents work alongside UT Southwestern Med-Peds faculty to care for infants, children, adolescents, and adults—all in the same setting. After completing their intern year, during which residents participate in categorical continuity clinics to obtain a solid foundation in each side, residents transition to the Med-Peds Clinic to care for their own panel of patients of all ages and backgrounds.

The clinic provides a small, supportive environment where residents gain a well-rounded clinical experience. They learn the art of primary care, including various clinical procedures such as Pap smears and steroid joint injections, so they feel confident performing them in their own practice instead of referring patients to specialists for these treatments and examinations. In this way, they develop competency in every setting, whether they are in a clinic, a hospital, or an intensive care unit.

Along with faculty and staff, residents are valued members of the clinic practice. In addition to supporting education and training in an ambulatory setting, the clinic provides a pleasant, encouraging environment that fosters resident growth and wellness.
Educational Activities
Educational Activities

Journal Club

Conducted within each Med-Peds nation, this evening journal club focuses on discussing an article from a particular genre or topic in an informal environment. The goal is to promote evidence-based medicine while allowing residents time with each other to relax outside the hospital setting. The clinical appraisal and findings are shared with remaining residents via the Med-Peds residency newsletter.

Synergy Conference

Held once a semester, this special lunch conference features an adult-medicine physician who presents an educational topic to pediatricians, and vice versa. This conference is intended to improve patient care by exchanging knowledge and awareness between Pediatrics and Internal Medicine.

Combined Electives

Residents have the opportunity to participate in electives in both Internal Medicine and Pediatrics. The program can also customize Med-Peds electives to align with residents’ career goals. Previously, combined electives have included cardiology, palliative care, rheumatology, global health, quality improvement, and more.

MPSIG Clinical Case Series

Residents can hone their teaching skills while investing in the next generation of Med-Peds physicians by leading one of several Med-Peds Student Interest Group case-based discussions each Spring semester.

Categorical Conferences

Internal Medicine

Noon Conference

A daily conference given by general medicine physicians and specialists on a variety of internal medicine topics.

Morning Report

A daily conference for second- and third-year residents in which they discuss cases admitted by the teaching services. This conference provides exposure to an array of pathology seen at Parkland Memorial Hospital and invaluable face time with distinguished and experienced faculty members.

Intern Chart Conference

A weekly conference for interns at Clements University Hospital in which interns present cases and focus on the art of the differential diagnosis and clinical reasoning.

Potpourri

A weekly conference unique to UT Southwestern—and a house staff favorite. Residents present recent interesting cases, and the faculty, students, and interns help make the diagnosis.

Monday Didactics

A series of interactive teaching sessions held during every clinic week, which gives residents the opportunity to learn from lectures, group activities, simulation sessions, and case-based learning. These didactics are generally followed by social events and activities.

Pediatrics

Noon Conference

A daily conference that focuses on content specified by the American Board of Pediatrics. Topics include oncologic emergencies, pediatric infectious diseases, rheumatologic conditions, and current legislation affecting pediatrics.

Intern Case Conference

A roundtable discussion of an interesting case, newly published literature, or a clinical dilemma, usually with the Residency Program Director.

Resident Mid-day Report

A case presentation and discussion led by a senior resident and involving multidisciplinary faculty, fellows, residents, and medical students.

Morbidity and Mortality Conference

A discussion of adverse outcomes or near-misses, designed to discover and improve system issues and enhance patient care. This conference is led by residents with input from faculty and advisors.

Critically Appraised Topic and Literature Review

A resident-run conference that reviews recent literature relating to a topic of interest, in which one or more research studies are analyzed and summarized for other residents.

Held weekly during ambulatory clinic weeks, these incorporate case-based learning, clinical reasoning, simulation, and workshop and team-based learning sessions.

Academic Half-Day Didactics

Held weekly during ambulatory clinic weeks, these incorporate case-based learning, clinical reasoning, simulation, and workshop and team-based learning sessions.

Categorical Electives – Sample List

Internal Medicine
- Subspecialties (Cardiology, Pulmonology, Gastroenterology, Nephrology, Rheumatology, Infectious Diseases, and more)
- Anesthesiology
- Radiology
- Dermatology
- Basic Science or Clinical Research
- Women’s Health
- Pathology
- Quality Improvement
- Global Health
- Transplant Medicine
Learn more about Internal Medicine

Pediatrics
- Subspecialties (Cardiology, Pulmonology, Gastroenterology, Nephrology, Infectious Diseases, Rheumatology, and more)
- Diabetes Camp
- Nutrition
- Dallas Global Health Elective
- International Electives
- Sports Medicine
- Radiology
- Dermatology
- Palliative Care
- Resident as Educator (designed to hone teaching skills)
- Low Birth Weight Follow-up
- Cardiac Catheterization
- Medical Spanish
Learn more about Pediatrics

SimCenter

UT Southwestern has a state-of-the-art SimCenter, where residents can gain clinical experience in a realistic, safe, and interactive environment working with high-fidelity simulators that depict a variety of medical conditions, diseases, and patients—both adult and pediatric.

Through immersion in simulated scenarios, residents are exposed to multiple aspects of patient care and learn to diagnose, treat, and manage an assortment of clinical problems. This allows them to build a variety of skills, including analytical clinical reasoning, effective teamwork, medical crisis resolution, and efficient communication
Research Activities
Scholarly Project

The scholarly project is an opportunity to investigate an issue over the course of the residency and produce a meaningful contribution to the academic, medical, and educational community. With supportive leadership and infrastructure, residents can enrich their skills and become experts in their area of interest.

Scholarly project areas of interest:
- Global Health: Residents can gain experience in international medicine and public health through the Global Health Education Program, which is focused on equipping them to engage in sustainable, effective, ethical health care initiatives wherever they may build these partnerships. Established Internal Medicine and Pediatric partnerships currently exist in various sites in South Africa and South America and continue to expand.
- Quality Improvement: Residents can explore the relationship between health services and outcomes with dedicated faculty in Internal Medicine and Pediatrics.
- Research: Residents can complete basic science or clinical research in a specialty of their choice. UT Southwestern's robust research program enables residents to hone their research skills by working directly with experienced mentors who will nurture their ideas and help them succeed.
- Advocacy: Residents have the opportunity to learn about and engage in advocacy in both pediatrics and medicine. They can go beyond the community health training that’s part of the core curriculum and onto the front lines of healthcare advocacy.
- Transitional Care: Residents can bridge the gap between child and adult care delivery, which is a field that is undergoing significant changes and improvements, and become leaders in this increasingly important field.
- Education: Residents can explore ways to improve patient education models and reach many different audiences. This can include medical student, resident, and attending education, as they find ways to engage learners across the board. Med-Peds residents are eligible to participate in the UTSW IM Medical Education Track. We currently have three active Med-Peds members of the Med-Ed Track.
Advising and Mentorship

Having the right mentors can define an entire career path. And in a dual program like Med-Peds, where the career opportunities are nearly limitless, it is especially important to find experienced, trusted faculty members who can identify the opportunities and resources to develop a resident's unique strengths. At UT Southwestern, that support is offered from Day One, with approachable faculty who will guide and support residents every step of the way. The strength of our mentoring program comes from leadership. The department chairs and categorical program directors believe in and support the Med-Peds program. The greatest value of this program is the focus on the individual. Every resident is cared for and given a safe place to learn, to vent, and to grow. The result is a collaborative, ambitious program where residents do not just survive; they thrive.

We believe that residents can thrive best when they have an array of support in different domains. Some relationships can be assigned to a resident while others occur organically as a resident builds relationships in the UTSW community. Still other guides along the journey come from the connections and resources of others, and the Med-Peds program leadership is committed to connecting residents to those individuals who can uniquely support their path.
- Advisors: An advisor often plays the role of a coach, inspiring residents to ponder their own journey, asking questions to encourage self-reflection or nudging them in a direction that aligns with their goals. Advisors can help residents meet the general expectations of training while also carving out an individualized path that is both rewarding and challenging. In our program, advisors are assigned to ensure every resident gets one-on-one feedback and support throughout their journey and help connect them with potential career mentors who may be a good fit.
- Mentors: Mentors typically provide guidance and practical support through both professional and personal challenges. They bring their own lived experience to the mix, helping to normalize struggles and celebrate triumphs. Mentorship relationships can be formal or informal, but they tend to be most impactful and a mutual good fit when they arise organically.
- Sponsors: Sponsors are advocates who utilizes their own connections or resources to support the career trajectory of others. Because sponsoring another person involves taking a risk, these relationships are typically born out of relationship or impactful exposure to a resident’s strengths. The UTSW community has a deep network of generous sponsors who delight helping advance trainee's careers.
Structure of Clinical Rotations
Internal Medicine

The Internal Medicine schedule is designed with a firm system and an X+Y 4+1 block schedule. Given the size of UT Southwestern's Internal Medicine Residency Program, residents are divided into five firms. These firms become small, close-knit groups, going through rotations together as well as enjoying multiple program-sponsored wellness outings.

While on Internal Medicine, Med-Peds residents are integrated into the categorical residents' firm system, operating as part of the 4+1 block system. During their clinic week, interns have their continuity clinic at the Parkland Center for Internal Medicine, in which they care for adult patients with complex medical histories and various socioeconomic backgrounds. After their intern year, Med-Peds residents transition to the Med-Peds Clinic to work alongside Med-Peds faculty in caring for both adults and children.

Block Structure

Weeks 1-4

Residents spend the first four weeks of each five-week block on a particular rotation (general wards, critical care unit, medical intensive care unit, etc.). There are no continuity clinics during the four-week rotations, allowing residents more time to concentrate on their inpatient services and plan for their teaching and days off.

Golden Weekend

Between the four-week rotation and the clinic week, residents are guaranteed a free weekend, called the Golden Weekend. Knowing the block schedule ahead of time allows residents to reliably predict when they will have a free weekend and recharge their batteries.

Clinic Week

Residents rotate in their primary care continuity clinic, a half-day of ambulatory didactic teaching, and a half-day of a subspecialty clinic of interest to the resident.

Residents also receive several half-days off during the week to manage administrative tasks, study, rest, and attend to personal business. Residents can also work on research and quality improvement during clinic weeks.

Medicine-Pediatrics Block Schedule: PEDS - Pediatric; MED - Medicine;
pediatric ambulatory experience - adolescent medicine, development/behavior, community pediatrics or elective.

Pediatrics

The Pediatrics schedule is also designed as a firm system, but has a slightly different 4+2+2 block schedule. Med-Peds residents are assigned to one of four pediatric firms, and follow the same schedule as the categorical pediatric residents.

Sample Rotation Grid by Year
Sub S = Sub-Specialty, ED = Emergency Department, Elec = Elective, Res = Research, Geri = Geriatrics

Block Structure

Inpatient residents rotate in inpatient, PICU, NICU, and emergency care, in two- and four-week blocks, for six weeks, followed by a two-week ambulatory clinic. Ambulatory Clinic with a two-week ambulatory clinic block every six weeks. During these two-week ambulatory blocks, residents attend eight half-days of continuity clinic and spend the rest of their time in longitudinal ambulatory experiences including adolescent medicine, development/behavior, and advocacy/community pediatrics.

During their intern year, residents attend pediatric continuity clinic at the Children’s Health Medical Group, where they see a variety of pediatric patients alongside categorical pediatric residents.
Training Sites
- Children's
- CUH
- Parkland
Children’s Health℠ Children’s Medical Center Dallas
- Level 1 Pediatric Trauma Center
- Major Pediatric Kidney, Liver, Intestine, Heart, and Bone Marrow Transplant Center
- 487 Beds
- Primary Pediatric Teaching& Hospital
- One of the Nation's Top Pediatric Hospitals
Under the supervision of experienced general and subspecialty pediatric faculty, residents participate in the care of patients in the:
- Intensive Care Unit
- Emergency Department
- Primary and Subspecialty Inpatient Hospital Services
- Ambulatory Clinics
In addition to integral involvement on general pediatric services, residents can be a part of these inpatient services:
- Cardiology
- Pulmonology
- Hematology and Oncology
- Gastroenterology
- Endocrinology
- Nephrology inpatient
They may also have educational experiences in up to 50 pediatric specialty programs at Children’s Health, including those that specialize in particularly vulnerable populations such as
- AIDS-Related Medical Services (ARMS)
- Referral and Evaluation of At-Risk Children (REACH) Clinic
- Rees-Jones Center for Foster Care Excellence
- Thrive (a clinic for low-birth-weight children)
Residents play an active role caring for patients across multiple general and subspecialty services, and because patients are from a variety of racial, ethnic, and socioeconomic groups. Residents can utilize a vast array of ancillary and multidisciplinary services, including
- Social Work
- Clinical Nutrition
- Child Life
- Care Coordination
- School Services
- Medical-Legal Partnership (MLP)
- Lactation Consultation
- Physical, Occupational, and Speech Therapies
- Injury Prevention
- Pastoral Care
To learn more about the pediatric experience at Children's, visit the pediatric residency program and view videos describing the facilities and training experience.
William P. Clements Jr. University Hospital, is a 750-bed tertiary referral center for patients with complex disorders

Teaching services include:
- General Medicine Ward, ACE (Acute Care of the Elderly) Team
- MICU
- Cardiology
- Advanced Heart Failure
- GI/Liver Team (IBD, Liver Transplant)
- Hematology and Oncology
Residents also participate in subspecialty consult and outpatient clinic services during their hybrid subspecialty experience.

Residents enjoy rotating at Clements University Hospital because of the opportunity to care for patients with complex medical conditions who have exhausted the treatment options available at other facilities.
Parkland Memorial Hospital is the primary teaching hospital for the Internal Medicine Residency Program, with approximately 60 percent of internal medicine training occurring in this health care system.
- Only Public Hospital in Dallas County
- More than 1 Million Patient Visits Annually
- Diverse Patient Population
Teaching teams include numerous internal medicine, MICU, cardiology, and hematology/oncology teams. Ambulatory and inpatient consultation rotations are available in an array of specialties. Electives are available in various other disciplines, including global health and outpatient urban health including clinics dedicated to HIV care. Residents are also integrated in the hospital's quality and safety activities.

Residents appreciate working at Parkland because of the immense training opportunities in a variety of general and subspecialty services.