Welcome from the Program Director
Welcome to Louisiana State University’s Combined Residency Program in Emergency and Internal Medicine.
The program was established in 1999. It is one of twelve programs in the country and has established itself as a destination for excellence in training in both specialties. It is an exceptional program that offers a challenging, broad, and rewarding five-year training experience in Emergency and Internal Medicine. We are excited that you have visited our website giving you the opportunity to explore who we are and what we offer. The program’s mission and goals are to produce well-educated clinical and academic physicians with the skills and know-how to succeed in all clinical aspects of Emergency and Internal Medicine: in the emergency department, intensive care units, ambulatory clinics, and subspecialty services. The program instills in our residents a strong foundation and wealth of knowledge and experience in both specialties which allows them to enter and thrive in private practice, post-graduate subspecialty fellowships, academic, administrative, and international medicine upon graduation.
Sincerely,
Jorge Martinez, MD, JD
Learn about our program
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Why Pursue a Combined Residency in EM-IM?
Combined Specialty Programs are made up of two ACGME accredited programs at the same institution. Graduates from a combined EM-IM residency are eligible to sit for both the Emergency and Internal Medicine boards and are also eligible to apply to ACGME accredited fellowships from either speciality. Our graduates have gone on to pursue careers in academic medicine, pulmonary and critical care, hospitalist medicine, community and academic emergency medicine, primary care, and a combination of these specialities.
Curriculum
Our residents rotate between Emergency Medicine and Internal Medicine every 6 months. While rotating with internal medicine, the residents attend and participate in all internal medicine didactic activities, journal club, and scheduled continuity clinic. Except for intern year, we have moved to a 4+1 schedule where residents do four weeks of a rotation followed by a dedicated week of continuity and sub-specialty clinics. Residents have the option to join the hospitalist or primary care tract as well. While rotating with emergency medicine, the residents attend all EM activities including weekly educational conferences and monthly EM journal clubs. There are several optional EM tracts including EMS, Ultrasound, International, and Research. Additionally there is a dedicated EM/IM conference held monthly. This protected time allows the residents a chance to get together once a month and enjoy each other’s company. We focus on academic IM and EM topics, board review questions, and participate in cadaver and simulation labs.
PGY 1 - Internal Medicine
Medicine wards 12 weeks
Medical ICU 4 weeks
Subspeciality 3 weeks
Cardiology 4 weeks
Vacation 1 week
PGY 1 - Emergency Medicine
Orientation 2 weeks
ED at University 8 weeks
Pediatric ED 4 weeks
Obstetrics 2 weeks
Anesthesia/Ultrasound 2 weeks
VA Subspecialties 2 weeks
VA ED 2 weeks
Vacation 2 weeks
PGY 2 - Internal Medicine
Medicine wards 8 weeks
Continuity Clinic 5 weeks
Night float 4 weeks
Subspeciality 2 weeks
ICU Elective 2 weeks
Neurology 2 weeks
Vacation 2 weeks
PGY 2 - Emergency Medicine
Orientation 1 week
ED at University 10 weeks
Community ED 2 weeks
Trauma ICU 2 weeks
Pediatric ED 4 weeks
VA ED 2 weeks
Vacation 2 weeks
PGY 3 - Internal Medicine
Medicine wards 8 weeks
Continuity Clinic 5 weeks
Night Float 4 weeks
Medical ICU 2 weeks
Medicine Subspecialty 3 weeks
Vacation 2 weeks
PGY 3 - Emergency Medicine
ED at University 10 weeks
Community ED 4 weeks
Toxicology 2 weeks
EMS 2 weeks
Pediatric ED 4 weeks
Vacation 2 weeks
PGY 4 - Internal Medicine
Medicine Wards 8 weeks
Continuity Clinic 5 weeks
Night Float 4 weeks
Medical ICU 2 weeks
Medicine Subspecialities 3 weeks
Vacation 2 weeks
PGY 4 - Emergency Medicine
ED at University 10 weeks
Community ED 6 weeks
Pediatric ED 2 weeks
Pediatric ICU 2 weeks
EM Elective 2 weeks
Vacation 2 weeks
PGY 5 - Internal Medicine
Medicine Wards 4 weeks
Continuity Clinic 5 weeks
Geriatrics 4 weeks
Medicine Consults or Subspecialities 9 weeks
Vacation 2 weeks
PGY 5 - Emergency Medicine
ED at University 6 weeks
Community ED 8 weeks
EM Elective 4 weeks
Pediatric ED 4 weeks
Vacation 2 weeks
Residents
Applying to the Program
All applications must be submitted through ERAS. Given that there are only twelve programs in the country, we expect that you will also have a back-up - traditionally Emergency Medicine or Internal Medicine. If you would also like to be considered for one of these categorical programs at LSU, you must also submit a separate application to that categorical program through ERAS.
The following materials are required for a completed application :
Medical Student Performance Evaluation (MSPE)
Official Medical School Transcript
Three or more letters of recommendation from faculty with whom you have worked. It is strongly encouraged for you to have at least one Standardized Letter of Evaluation (SLOE) from an Emergency Medicine faculty and at least one traditional letter of recommendation from a Internal Medicine faculty. This may include a Chairperson’s letter, but it is not required.
USMLE scores and/or COMLEX scores: Passing Step 1 score is required prior to being offered an interview and a passing Step 2 CK score is required prior to the rank list certification.
Personal Statement: It is recommended that you address your interest in combined training in your personal statement.
Away Rotation Information
We do not currently offer an EM-IM specific rotation, however, there are options to rotate both in EM and IM at LSU New Orleans. Our Program Director would be happy to meet with you during either your internal medicine or emergency medicine away rotations.
Additional Education Opportunities
While rotating with each department, residents will attend that particular department’s conferences. In addition, we have an IM-EM specific conference one evening a month, where we do board review on topics pertinent to both programs. Our residents help plan, teach and lead both simulation and procedure labs to internal medicine residents and medical students.