Marshfield Clinic Program

The Marshfield Clinic Internal Medicine Residency Program offers a distinctive educational experience characterized by its unique blend of large tertiary care resources and the community-oriented lifestyle of a rural American city. The program is located in Marshfield, Wisconsin, which is known for its affordable living and pleasant environment, providing short commutes and minimal traffic. Residents benefit from state-of-the-art facilities and a supportive faculty comprised of knowledgeable professionals.

Program Overview

The program aims to advance the skills and knowledge of residents by reinforcing critical thinking and a sense of well-being. The curriculum integrates theoretical knowledge with practical skills in clinical practice, emphasizing patient safety and system quality improvement, which are seen as vital components of modern healthcare. The educational framework encourages residents to function within a multidisciplinary team, ensuring excellent patient care and enhancing individual competency.

Application Requirements

To apply to the program, candidates must meet specific application requirements, aiming to create a competitive selection process. These requirements include:

• Passing USMLE Step 1 and achieving a score of 225 or higher on Step 2. Passing Step 3 is preferred.
• Obtaining a minimum of four months of recent hands-on U.S. clinical experience, distinctly separate from research or observation roles.
• Graduating from medical school no more than eight years prior to applying, although exceptions are made for those who had U.S. residency training during this time.

Applicants must submit their applications through the Electronic Residency Application Service (ERAS), along with transcripts of USMLE scores, at least three letters of recommendation, and a Dean's Letter. The program places a high priority on international graduates and sponsors H1B visas, requiring Step 3 results by January 31.

Curriculum and Rotations

The residency features a comprehensive rotation schedule distributed across three years. Key components of the rotation schedule include:

• PGY1 Year

  Includes 3-4 months of General Medical Ward Service, 1 month of Critical Care (ICU), and 2-3 months of electives among various specialties.

• PGY2 Year

  Continues with General Medical Ward Service and expands into critical care, emergency medicine, and additional electives with outpatient blocks scheduled throughout the year.

• PGY3 Year

  Focuses on advanced patient care responsibilities, critical care training, and outpatient service experiences, totaling substantial elective rotations.

The curriculum is complemented by didactic sessions that aim to build medical knowledge and clinical skills through evidence-based learning. Residents engage in weekly conferences including grand rounds, journal clubs, and board review sessions, enhancing their exposure to cutting-edge medical practices.

Research Opportunities

Research is an integral component of the residency. Residents collaborate with the Marshfield Clinic Research Institute, engaging in active research projects that cover various medical topics. Resources include:

• Access to ongoing research projects and mentorship opportunities.
• Monthly meetings with a dedicated research coordinator.
• Funding for research initiatives and assistance with necessary protocols and data analysis.
• Collaboration with notable institutions such as the University of Wisconsin and Mayo Clinic.

Evaluation and Feedback

Evaluations in the residency program utilize a "360 Degree Assessment" approach. This includes self-evaluation, evaluations from supervisors, peers, and nursing staff, as well as direct feedback from attending physicians. The program is committed to ensuring that residents develop competencies across crucial areas defined by ACGME standards.

Resident Benefits

Residents enjoy a competitive benefits package, which includes:

• A salary range from $68,964 for PGY1 to $82,583 for PGY6, depending on the year of residency.
• Health and dental insurance with coverage options for dependents.
• 15 days of vacation and additional days for CME, interviews, and exams.
• Relocation assistance up to $2,500 and an annual education fund of $1,750.

The program also provides malpractice coverage, short and long-term disability insurance, and support for educational materials.

Resident Life and Diversity

The community aspect of the residency is highlighted by an inclusive environment with residents coming from diverse backgrounds. The city of Marshfield hosts a variety of cultural and recreational activities, making it an appealing place for residents to live and work.

Through its structured training opportunities, supportive community, and emphasis on well-rounded medical education, the Marshfield Clinic Internal Medicine Residency Program represents a compelling choice for aspiring internists.