How are residents evaluated?
In addition to on-the-fly verbal feedback from attendings, at the conclusion of each rotation housestaff receive formal written evaluations from their attendings. They also receive anonymous written peer evaluations for rotations where this is appropriate. We use MedHub, where residents have immediate access to all of their evaluation information. Our Clinical Competency Committees (CCCs) review each resident's evaluations and progress in our program at least twice per year (and per ACGME requirements, assess their progress on achieving the Internal Medicine Milestones). Faculty on the CCCs are each assigned 5-6 housestaff for whom they closely follow evaluations and with whom they sit down twice per year for a semi-annual meeting in which they discuss feedback and input from the CCC, as well as the resident's goals for training and beyond. For continuity, by the conclusion of categorical residency training, each resident should have had 6 semi-annual meetings with the same CCC faculty advisor.
Are you participating in the iCOMPARE duty hours study?
Yes because we think it is important to participate in research that advances medical education and that may improve resident education and patient care.
We were randomized to the "Flexible hours" arm, which means that we have been granted a waiver by the ACGME to be more innovative in designing work shifts that make the most sense for patient care and resident education, while still abiding by the basic duty hours restrictions (max avg 80 hour work week, minimum avg one day off in 7, long-call not more often than q3). At this time, the ACGME waiver lasts through academic year 2016-17. The ACGME is currently reviewing the duty hours regulations for all residency programs and is expected to come out with a revised set of regulations in the coming months. In response to resident feedback, we have chosen our ICU rotations and our cardiology ward team for flexible scheduling. Our interns and residents are paired and work together taking q4 overnight call (up to 28 hour shift including post-call rounds and sign-out). Our other rotations and hours are not affected by the iCOMPARE study.
Do you use electronic medical records (EMR)?
YES! We are paperless and use EMR for patient notes, orders, and results. This is true of our clinic, GWU Hospital, and all affiliated sites. The EMRs are different at different affiliated sites, but our residents find them to be straightforward and user-friendly.
What is the on-call schedule?
At GW, ward teams are on call every fifth day (q5) with a nightfloat team for overnight cross-cover and admissions. The VA has a geographic drip system (with teams getting admissions each day) and a night team for overnight admissions. The GW ICU,VA MICU, and cardiology ward team are on overnight call every fourth night (q4) per the iCOMPARE study.
Remember, since we are a 4+1 system and we respect the ambulatory weekend, for categorical and primary care residents, every 5th weekend is a bonus golden weeekend!
Is there a capping policy?
Yes, we strictly follow the RRC requirements.
What about days off?
In addition to scheduled vacation weeks, interns and residents average at least four days off during each ward month. We strictly abide by the one day off in seven!! In addition, the 4+1 schedule provides more weekend-days off during each ambulatory week.
Is there a nightfloat team?
At GW, there is a nightfloat team consisting of an in-house moonlighter, two to three residents and two interns. The intern cross-covers inpatients on the floor, while the residents and moonlighter are responsible for admissions. The residents are also there for intern supervision as needed throughout the night. At the VA, there is a night team for cross-cover and admissions, except on weekends, when they are done by the on-call resident. At INOVA Fairfax, moonlighters cross-cover patients each night.
Is there a research requirement?
Yes, we require all categorical and primary care residents to complete scholarly activity, and to submit their work for publication or for presentation at a regional or national conference. Residents work closely with faculty mentors whom they select. Residents may present their "work in progress" at noon conference for the rest of the housestaff and faculty.
Please see our Resident Research page for more information.
Is there support for travel to a national meeting?
Conference and travel expenses are reimbursed for housestaff who present scholarly work performed at GW as first authors at prestigious national meetings. We love when our residents get to show off their acheivements and represent us around the country! Our department will typically reimburse for one meeting per resident per year that meets this criteria.
Can residents at GW quality for Public Service Loan Forgiveness?
As an employee of The George Washington University (which is a 501c3 organization), time spent as a resident here can count towards the Public Loan Forgiveness Program through Direct Loans.
How do you help residents prepare for the ABIM certification exam?
Books/Online: We offer each PGY2 a free copy of the MKSAP or reduced-rate Medstudy for board preparation.
NBME In-Training Exam: Each intern and resident takes the in-training exam annually to help define areas of improvement for individuals and the program. Results of this examination directly affect the content of our noon conferences and morning report.
Didactics/Teaching: Once per week, morning report at GW has an exam preparation focus. Topics selected are informed by in-training exam results.
Do you give a book allowance?
Residents do not receive a book allowance, but they receive a 10% discount on purchases at the university bookstore. All housestaff have free access through the GWU library to MDConsult, DynaMed, Clinical Key, ePocrates, and Lexicomp, as well as over three dozen textbooks and almost 1,000 journals in full text. Library resources can be accessed online from any location, including from home. As above, all residents receive the MKSAP or MedStudy board review series.
When is the deadline for applying through ERAS?
The deadline is October 15, but we encourage you to submit your application as soon as possible because we do run out of interview slots every year.
What are the minimum USMLE score requirements for your program?
We do not have minimum board scores, however you should know that our average Step 1 and 2CK scores are higher than the national average. We review applicants’ entire applications, including transcripts, USMLE scores, letters of recommendation, CVs, and personal statements. Please note that you must take and pass Step 1, Step 2CK and Step 2CS in order for us to rank you for our program. We may offer interviews without Step 2 scores in certain scenarios, but cannot rank you without it.
When is your start date for intern year?
If your Deans and faculty advisors haven't told you yet, there is an old wives' tale that residency always starts at the beginning of July -- most of us in fact start in June! Our typical start date is June 15 -- this includes required orientation and credentialling activities and starting patient care before July! On the flip side, our residency program finishes about a week before July, so if you choose to do a fellowship you will have time to move to your new location and get situated in time for fellowship orientation!
What about International Medical Graduates (IMGs)?
We accept the best qualified applicants to our program, regardless of the medical school they attend. For IMGs, we require clinical experience in the United States. This can take many forms, including observerships. We also require IMGs to have graduated from medical school within 5 years (preferably 3) of applying to our residency. What we certainly require is an understanding of the medical language and the basics of the American medical system so that the transition to internship can be as rapid and smooth as possible. We are only able to accommodate J1 visas and GW cannot sponsor Visas, so you must be sponsored by ECFMG.
Do you offer externships?