University of Wisconsin
School of Medicine and Public Health

Hospitalist/Subspecialty Focus

As a University of Wisconsin internal medicine resident, you can personalize your education by focusing your training based on your interests.

You can do this anytime during residency, allowing you to experiment with possible career choices before committing to an area of expertise.

This provides you with scheduling flexibility, mentorship and electives so you can align your learning experience with your personal and career goals.

Cardiology procedures

Hospitalist Focus

The Divisions of Hospital Medicine and Pulmonary and Critical Care Medicine collaborate to offer interested residents a Hospitalist Learner-Directed Focus. This learning focus, while meeting all ACGME and ABIM requirements for internal medicine board eligibility, emphasizes the care of hospitalized patients with illnesses ranging from acute and immediately life threatening to decompensated chronic conditions.

This focus is intended for residents who plan to practice hospital medicine, critical care medicine, or other inpatient-focused specialties. You'll receive mentorship from an experienced practicing hospitalist known for his or her teaching skills. Because a multidisciplinary approach is an integral part of all of our training, mentors in critical care and other specialties are also available if desired.

Ward, ICU, CCU, consultative, emergency, outpatient and transitions in care rotations ensure you'll have heterogeneous experiences that will enable you to adapt to an array of hospitalist work environments upon graduation. Division of Hospital Medicine faculty members work closely with you to ensure you have progressive responsibilities, independence, and the role models needed to become the physician you want to be.

You will graduate with advanced procedural, triage, consultative and surgical co-management skills and the ability to work as a team leader and member in an interdisciplinary model of care. In addition, you will develop the ability to analyze your and your colleagues' practices, work with relevant institutional stakeholders, and develop your own quality improvement projects.

Rotation electives

  • General Medicine ward with a traditional learning team of third- and fourth-year students and a hospitalist physician. Over three years the resident progresses to the PG-3 “junior attending” level.
  • Hospital Medicine, where a single resident works with a hospitalist physician, nurse practitioner, case manager, pharmacist and social worker and progresses to independent management of the entire service.
  • Inpatient Medicine consults, focusing on surgical co-management and consultative medicine for a wide array of patients.
  • Critical Care in our Trauma Life Center, focusing on management of the most unstable medical and surgical patients.
  • Inpatient Cardiology, CCU Care, and Heart Failure Services.
  • Neurology Critical Care, focusing on the management of patients with acute unstable neurologic injuries.
  • Stroke service rotation.
  • Selected subspecialty inpatient consultative services, including infectious diseases, diabetes management, nephrology, cardiology, GI/hepatology and pulmonary medicine.

We also connect you with an advisor/mentor on the hospitalist faculty and the residency education team for portfolio enhancement and job searching.

Subspecialty Medicine Learner-Directed Focus

Each subspecialty (Cardiology, GI, Allergy/Immunology, Geriatrics, Endocrinology, Hematology/Oncology, Infectious Diseases, Rheumatology, Women’s Health, Pulmonary/Critical Care, Sleep Medicine, Hospice and Palliative Care, Nephrology) offers our residents a Subspecialty Learner-Directed Focus in their field.

This learning focus, while meeting all ACGME and ABIM requirements for general internal medicine board eligibility, provides additional learning and experience in the inpatient, outpatient, and consultatory care of patients with acute and chronic illnesses and in research scholarship in the respective field.

This focus is intended for residents who plan to practice, teach and/or do research in the subspecialty of their choice. Mentors in the field—including the division head, fellowship director, researchers and clinician-teachers—and our residency program's education team guide you through available opportunities.

Inpatient, outpatient and research rotations ensure that you have an array of experiences to affirm your interest. These electives greatly enhance your portfolio for fellowship application.

You will complete the program as a well-trained internist with significant research and quality improvement project experience. The two-year longitudinal subspecialty continuity clinic allows you to learn how to care for patients with chronic diseases in an outpatient, multidisciplinary team and how to consult for other providers.

Rotation electives

  • Subspecialty consult experiences: inpatient, outpatient or a hybrid
  • Focused subspecialty experiences in your area of interest, including Heart Failure, Hepatology, Asthma, HIV, Alzheimer’s, Osteoporosis, Diabetes/Thyroid, Single Disease Hematology/Oncology Clinics, Palliative Care/Hospice, Acute Renal Care or Transplant 
  • Three dedicated research rotations in your field of choice
  • A second continuity clinic in subspecialty or focused subspecialty of your choice in the PG-2 and PG-3 years
  • Relevant clinical electives in related fields
  • Quality improvement project in your field of choice

Faculty in the respective fields and the residency’s education team provide advising for fellowships, CV and portfolio building and mock interviews.