BWH Division of General Internal Medicine Primary Care Program

Our primary care program is a close-knit family within the larger community of the BWH internal medicine residency. Our residents hail from medical schools across the U.S. and go on to pursue exceptionally diverse and impactful careers after training, in every facet of healthcare.

Hallmarks of our program include: a broad array of clinic sites where residents assume primary ownership of a patient panel; a curriculum that progresses from foundational to advanced topics with each year of training; invested mentorship to support personal and professional growth; and a strong commitment to fostering community and inclusivity.

MISSION

The mission of the Brigham and Women’s Hospital/Division of General Internal Medicine (BWH/DGM) Primary Care Program is to train outstanding primary care clinicians and to foster the next generation of leaders in general internal medicine.

Our mission encompasses these guiding principles:

Residents receive rigorous clinical training in both the outpatient and inpatient settings. Their growth is facilitated by protected ambulatory time and an innovative curriculum. Trained by experienced and dedicated clinicians, residents learn both the science and the art of general practice.

We are dedicated to building a diverse and inclusive community, united by shared values, with infinitely varied career pathways. Our graduates have become leaders in every corner of healthcare, from community health to research to medical education to health policy. Through personalized mentorship, we help each resident discover and achieve their own personal goals.

We are committed to recognizing and addressing systemic injustices and social determinants of health, as well as empowering our local communities to understand and improve their health. Our residents develop knowledge and skills that will prepare them to be effective advocates at every level, from the clinic to Congress.

We believe in primary care as the bedrock of a high-functioning health care system. We recognize the unique privilege of generalists to address and advocate for the comprehensive needs of our patients. We empower residents to envision how primary care can be sustained and transformed in the future and take pride in promoting the value of primary care throughout our community.

Our Mission Statement was revised in 2019 through a resident-led collaborative process. We seek to promote resident engagement and collaboration in all facets of our program.

Program Leadership

Sonja Solomon, MD

Program Director, BWH Division of General Medicine Primary Care Residency Program

Welcome. This is an exciting and important time to train in Primary Care Internal Medicine. The COVID-19 pandemic has vividly illustrated the many ways in which equitable access to comprehensive and high-quality primary care matters – to individuals, to communities, and to the health of our society. It has accelerated the adoption of innovative care delivery models that will better serve our patients. And it has reminded us of the critical ways in which front-line clinicians can advocate for their patients and for change.

The DGM program is a cohesive family within the larger residency. We are intentional about cultivating community, and we place a high emphasis on the importance of authentic, longitudinal relationships –between residents and their patients, between residents and faculty, and within resident cohorts. Our faculty mentors are committed to helping residents discover and realize their individual goals and diverse career interests.

We encourage you to apply if you are interested in meaningfully partnering with patients on their journeys, practicing comprehensive and evidence-based medicine, envisioning and working for a better future, and joining a peer community that will support and inspire you.

Program Structure

  • There are 24 residents in the program, 8 in each year.
  • Each class rotates together on ambulatory blocks throughout all 3 years of residency.
    • Intern year: 
      • 7 two-week ambulatory blocks with your cohort
      • 1 two-week ambulatory specialty elective 
    • Junior year:  
      • 8 two-week ambulatory blocks with your cohort
      • 1 two-week ambulatory specialty elective
      • 2-4 weeks additional elective time
      • 2 weeks geriatrics
    • Senior year:  
      • 5 two-week ambulatory blocks with your cohort
      • 10-12 weeks elective time
  • Twice per year, DGM interns, juniors, and seniors rotate together on ambulatory allowing opportunities for supplemental curriculum, peer mentoring, and community-building. Program-wide retreats occur twice yearly during these blocks. Recent retreat activities have included: 
    • A guided walk around neighborhoods of Boston
    • Team-building workshops using techniques of improv theater
    • An afternoon of neighborhood beautification in Boston’s Mission Hill
    • Panel discussions on the future of primary care delivery and on cultivating meaning and sustainability in clinical careers
  • Special events throughout the year bring together the DGM faculty and residents to foster mentoring, collaboration and social connections.
  • DGM residents have both a classroom-based and an experiential curriculum tailored to the needs of the generalist, arming them with the knowledge and skills to practice in any setting after graduation.
  • DGM residents have priority scheduling for sought-after elective experiences including:
    • Boston Healthcare for the Homeless
    • Addiction medicine
    • Women’s healthcare
    • LGBTQ healthcare
    • Health policy externship at MassHealth
    • And more…
  • DGM residents may elect to participate in one of the Pathways available through the larger residency, including Leadership in Health Equity, Scholars in Medical Education, and Management and Leadership, among others..

Sample schedules

Intern Year

Monday Tuesday Wednesday Thursday Friday

AM

Continuity Clinic
Flex Time
Didactics
Sub-Specialty Clinic
Didactics

PM

Sub-Specialty Clinic
Continuity Clinic
Continuity Clinic
Sub-Specialty Clinic
Flex Time

Each week during a 2-week block typically contains 3 sessions of continuity clinic, 2-3 sessions of sub-specialty clinic, 2-3 sessions of didactics and 2-3 sessions of flexible time that can be used for mentoring meetings, personal projects, patient follow-up, and personal wellbeing.

Junior Year

Monday Tuesday Wednesday Thursday Friday

AM

Continuity Clinic
Flex Time
Didactics
Sub-Specialty Clinic
Didactics

PM

Sub-Specialty Clinic
Continuity Clinic
Continuity Clinic
2nd Longitudinal Clinic (optional)
Flex Time

Juniors may elect to add a 2nd longitudinal clinic once a week during ambulatory blocks. To underscore the program’s commitment to professional development, all primary care junior residents are given funding and protected time to attend the annual meeting of the Society of General Internal Medicine.

Senior Year

Monday Tuesday Wednesday Thursday Friday

AM

Continuity Clinic
Project Time
Didactics
Project Time
Project Time

PM

Dayfloat / Inpatient Coverage
Project Time
Continuity Clinic
2nd Longitudinal Clinic (optional)
Continuity Clinic

Senior schedules have more flexibility to allow for project time and other professional development. We strongly emphasize the development of teaching skills among our residents. Many of our senior residents have served as tutors in Harvard Medical School courses and as chief residents at the West Roxbury VA Hospital and Faulkner Hospital, as well as delivering didactics within the DGM program.  Senior residents may opt to undertake away electives; a popular option for this is a rotation at the Indian Health Service in either Shiprock or Gallup, NM.

Curriculum

Our clinical curriculum follows a three-year progression. Each year’s content is tailored to the developmental stage of the resident.

Highlights include:

Intern “Bootcamp”

  • A peer-led series of sessions focused on the evaluation and management of the most common entities in primary care medicine

Social Justice and Advocacy

  • The Social Justice and Advocacy curriculum is a 3-year, longitudinal program that arms residents with the knowledge and skills to address health inequities and serve as effective advocates. Through curricula, skill-building workshops, and facilitated discourse, residents cultivate a justice-oriented approach to the provision of healthcare in both clinical and systems-level domains. As part of the advocacy arm, all residents make a yearly visit to the State House to meet with legislators and advocate on a relevant health-related issue.

Quality Improvement

  • A longitudinal skill-based curriculum focusing on quality improvement and patient safety, including opportunities for learning population health and panel management.

…and more:

  • Buprenorphine waiver training, plus case-based learning on the care of patients with substance use disorders
  • Reflective practice sessions (“Balint group”)
  • Advanced communication skills, including motivational interviewing and communication in serious illness
  • “Primary Care Roundtable” – multiple PCPs talking through common challenges and controversies in primary care medicine
  • “Clinical conundrums” high-yield case review with program director
  • Clinical epidemiology
  • Health policy
  • Professional development including negotiations and public speaking.

Clinic Sites

A hallmark of our program is the diversity of clinic sites in which our residents practice primary care medicine. These include community health centers, BWH-affiliated community-based practices and our large hospital-based teaching practice. Our residents are supported by highly skilled faculty preceptors who become key clinical and professional mentors over three years of training.

Over the last 5 years, our residents have practiced at the following clinical sites:

  • The Phyllis Jen Center for Primary Care
  • South Huntington Advanced Primary Care Associates
  • Southern Jamaica Plain Health Center
  • Brookside Community Health Center
  • Codman Square Community Health Center
  • The Fish Center for Women’s Health
  • Uphams Corner Community Health Center
  • Brigham Circle Medical Associates

Many DGM residents elect to participate in a second continuity clinic (either in a different primary care setting or sub-specialty) in their junior and/or senior year. In recent years, these have included:

  • HIV Primary Care at Boston Healthcare for the Homeless
  • Immigrant and Refugee Health
  • Addiction Medicine
  • Gynecology

Personal Projects

Each resident is provided time and mentorship to undertake a longitudinal project. Residents’ projects have encompassed a wide range of domains, including investigative research, QI, curriculum development, community engagement, entrepreneurship, and medical humanities. Many residents’ projects have become permanently integrated into the formal DGM curriculum. Many of our residents present their projects as scholarly work at SGIM or other national conferences and receive mentorship and financial support to do so.

Current Residents

PGY-3

Emilie George, MD

Weill Cornell Medicine

Margaret Hayden, MD

Harvard Medical School

Sanjay Kishore, MD

Harvard Medical School

Rebecca Lichtin, MD

Columbia University Vagelos College of Physicians and Surgeons

Pooja Mehta, MD

Harvard Medical School

Prihatha Narasimmaraj, MD

University of California, San Francisco, School of Medicine

Luisa Paredes Acosta, MD

University of North Carolina at Chapel Hill School of Medicine

Badar Patel, MD

McGovern Medical School at the University of Texas Health Science Center at Houston

PGY-2

Beret Amundson, MD

Emory University School of Medicine

Micah Johnson, MD

Harvard Medical School

Daniel Liauw, MD, MPH

University of North Carolina at Chapel Hill School of Medicine

Miguel Linares, MD, MPH

University of California, San Francisco, School of Medicine

Emily Moore, MD

Vanderbilt University School of Medicine

Soraya Naqvi, MD, MPH

The University of Texas Health Science Center at San Antonio Joe R. and Teresa Lozano Long SOM

Brittany Ricci, MD

The Warren Alpert Medical School of Brown University

Lisa Simon, MD, DMD

Harvard Medical School

PGY-1

Hannah Borowsky, MD

University of California, San Francisco, School of Medicine

Christopher Cai, MD

University of California, San Francisco, School of Medicine

Ethan Manelin, MD, PhD

Harvard Medical School

Max Jordan Nguemeni Tiako, MD, MS

Yale School of Medicine

Hema Pingali, MD

Harvard Medical School

Blossom Tewelde, MD

Johns Hopkins University School of Medicine

Lindsey Ulin, MD

McGovern Medical School at the University of Texas Health Science Center at Houston

Sarah Zambrano, MD

Boston University School of Medicine

Resident ReflectionS

On DGM:​

DGM is full of incredibly passionate humans who care deeply about practicing medicine in a way that is radical, kind, and justice-oriented. It is inspiring to be immersed in a community thinking so critically and rigorously about primary care.

Hannah Borowsky, PGY-1

My trajectory to and through medicine has been deeply shaped by an interest in addressing health inequities. I sought residency programs that embedded a curriculum on this topic alongside clinical practice. Although the residency-wide program offers ample resources to all residents, DGM affords me unique opportunities to become involved in health equity initiatives ranging from advocacy, QI projects and research, curriculum development and community outreach in collaboration with a tight-knit community of like-minded individuals while receiving support every step the way.

Miguel Linares, PGY-2

DGM has been my close knit Boston family after moving across the country for residency. I chose this program to be part of a group of passionate clinicians who are committed to shaping and improving patient care! My DGM cointerns have been there for me on both my hardest and best days, and surprised me with midnight coffee on call shifts.

Lindsey Ulin, PGY-1

I was looking for a close-knit program with access to mentors interested in my chosen career path (general medicine/primary care and health care delivery/systems innovation), a commitment to resident wellness and maintaining my personhood in residency, and the chance to diversify my IM training experience (as hard as it was to leave California!).

Prihatha Narasimmaraj, PGY-3

DGM is a community (within a community) of people who share my interests in addressing the fundamental causes of health inequities. Here, we share a common understanding that we are affected by politics as people and as professionals, and we have power to leverage for social and political change. I love having a small cohort of people with whom I can spend my flex time enjoying large portions of French toast AND hear and talk about our varied interests and passions, from growing a family to watching the Bachelorette to talking about ethnographic work, health policy research and advocacy, and physician mental and physical wellbeing. We're an eclectic bunch that get along and enjoy each other's company.

Max Jordan Nguemeni Tiako, PGY-1

On Clinic:

I love my clinic at South Huntington - it serves a patient population that is diverse in every sense of the word (socioeconomically, medically, racially and ethnically), a supportive team environment, and an innovative culture with docs who are leaders in a variety of fields within Primary Care. My favorite part is working with my preceptor, who, in addition to being a fierce advocate for Primary Care, is a wonderful clinician and teacher.

Clare Landefeld, 2021 Alumna

Codman Square Health Center is an amazing FQHC that is connected to a magnet school and offers food bank and gym facilities for patients. I feel like I'm able to connect my patients with resources that empower them and learn how to be a physician that informs my identity as a community member too.

Lisa Simon, PGY-2

My clinic is at Upham's Corner - a federally qualified health center in Dorchester. I have loved my time there. We care for a predominantly immigrant population (mainly from Cape Verde as well as the Caribbean). It's a mission driven place that is without a doubt serving a real need in the community. My time at Upham's has made me appreciate the power of community health -- I feel privileged to get play a role there even for a short while. I feel like I have a lot of autonomy with my patient panel - they really see me as their doctor - and have gotten lots of experience caring with bread and butter primary care topics like DM and HTN. I also have several patients on suboxone on my panel and several patients with HIV and have been managing their ART and other HIV care (with help from my preceptor) which has been very valuable learning experience.

Margaret Hayden, PGY-3

On living in Boston:

I love the green space in Boston! There is no shortage of parks, lakes, rivers, hiking areas, and other outdoor spaces both in the city and out in nature to safely gather with co-residents. Being from the midwest, the northeast is so convenient in that everything is close together, offering many day trip/weekend trip opportunities - Cape Cod, the White Mountains of NH, Portland, Providence...so many options!

Beret Amundson, PGY-2

I was surprised by the beauty of the city! I love the amount and proximity of green spaces. I also love the art and culture that comes from being in a place with so many educational institutions. Even beyond the walls of the Brigham, it feels like a place where advances in science and innovation are happening, and there are many opportunities at your fingertips.

Clare Landefeld, 2021 Alumna

When people said New England falls were the most beautiful time of year, I thought it'd be an overstatement, but it's not! Boston falls are absolutely lovely--even the regular walk to work on a fall day is stunning.

Jenny Hong, 2021 Alumna

DGM and HVMA/Atrius Shared Primary Care Community

Primary Care Chief Resident

Our programs are fortunate to have a dedicated primary care chief resident, who serves as a key educator, mentor and advocate for the residents across both programs and a champion of primary care education for the program at large. Our 2021-2022 Primary Care Chief Medical Resident is Dr. Lauren Malishchak.

I joined the Brigham Primary Care family in 2018 as a resident in the DGM program. Since then, BWH has since become my home away from home; my co-residents are amazing friends to whom I will turn for guidance for the rest of my career. During residency, I loved that the primary care program provided a tight-knit community within the larger program and allowed me to pursue personal interests, such as having my continuity clinic at an FQHC (Upham's Corner in the Dorchester neighborhood of Boston), where I cared for a population of patients that has historically been marginalized. Simultaneously, I always felt that I was an integral member of the larger categorical program, through which I received rigorous inpatient training in internal medicine balanced with graduated autonomy and wonderful support. These experiences were perfectly complementary and made me into a well-rounded physician who is ready to take on the next stage of my career. If you are hoping to graduate residency as a physician who is poised to take on challenging clinical scenarios, be a leader in domains from policy to advocacy, and develop connections with co-residents and program alumni who can sponsor and mentor you at all stages of your career, we hope that you will strongly consider training in primary care at BWH.

Lauren Malishchak, MD​

Annual Joint Retreat

At our annual joint retreat, residents from our two primary care programs come together for an evening of community building, primary care inspiration, and plentiful good food. We often feature a keynote speaker from among our alumni.

Community Engagement

In 2018, residents in the two primary care programs identified community outreach and engagement as a core tenet in their training. Sportsmen’s Tennis and Enrichment Center is a tennis club located in Dorchester, a neighborhood of Boston. Sportsmen’s has been serving Boston’s inner city since 1961, as the first indoor non-profit tennis club built by and for the Black community. The BWH Center for Community Wellness (CCW) was launched at Sportsmen’s in 2015 with a mission to advance health and chronic disease prevention in the communities of Dorchester, Mattapan, and Roxbury. Through the CCW, our residents are involved in a longitudinal capacity in conducting health education and health promotion workshops, a collaboration that has been deeply rewarding to all involved.

Shared Didactics and Events

As schedules permit, residents from the 2 programs come together for shared learning opportunities. One such opportunity is the clinical epidemiology curriculum, certain sessions of which occur jointly between our two programs. We also host combined dinners and other special events periodically during the year.

After Residency

Our graduates pursue exceptionally diverse career pathways and we enthusiastically embrace the contributions of our alumni in every corner of health care. Our alumni practice in highly diverse settings throughout the U.S. and internationally including community health centers, private practices, innovative healthcare organizations, academic medical centers and government-affiliated systems such as the Veterans Administration and the Indian Health Service. Many pursue academic pathways as clinician-educators, clinician-innovators or clinician-investigators. Others have taken on major leadership roles in academia, government, and public health. Still others have spearheaded novel initiatives aimed at transforming healthcare delivery or have played important roles in setting state and federal health policy. We proudly maintain an active alumni network and our alumni are routinely involved in mentoring and advising our current residents. We are happy to connect our applicants with alumni around the country who share common career goals.

Recent Alumni

Class of 2021

Anne Duckles, MD, MPH – Hospitalist, MGH
Jennifer Hong, MD – Primary Care Internist, MGH
Clare Landefeld, MD – Addiction Medicine Fellow, MGH
Lauren Malishchak, MD – Primary Care Chief Resident, BWH
Fabiola Molina, MD – General Internal Medicine/NCSP Fellow, Yale University
Laura Nicholson, MD – Primary Care Internist and Home Hospitalist, BWH
Maria Patanwala, MD – General Internal Medicine/NCSP Fellow, UCLA

Class of 2020

Ayrenne Adams, MD, MPH – PCP and Clinical Director of SDoH, NYC Health and Hospitals
Katie Baird, MD – Primary Care Internist, MGH
Emily Cetrone, MD – Geriatrician, UNC
Tina Meade, MD – Primary Care Clinician-Educator, BWH
Chioma Okwara, MD – Hospitalist, BWH
Anita Rao, MD – Primary Care Internist, Atrius Health
Hallie Rozansky, MD – Addiction Medicine Fellow, BMC, currently BWH Chief Resident
Lisa Rotenstein, MD, MBA – PCP and Assistant Medical Director for Population Health and Wellbeing, BWH
Priscilla Wang, MD – PCP and Population Health Fellow, MGH
Yan Emily Yuan, MD – Endocrinology Fellowship, BWH

Class of 2019

Cricket Fisher, MD, MPhil – Hospitalist Clinician-Educator, BWH
Doug Jacobs, MD, MPH – PCP and Chief Innovation Officer, PA Dept Human Services
Sohan Japa, MD, MBA – Hospitalist and Entrepreneur
Laura Kolbe, MD – Hospitalist and Writer, Weill Cornell
Denise Pong, MD – Primary Care Clinician-Educator, Duke
Meghan Rudder, MD – Primary Care and Obstetric Medicine Specialist, BWH
Kristine Torres-Lockhart, MD – PCP and Addiction Medicine, Montefiore
Aileen Wright, MD – PCP and Informatics Researcher, Vanderbilt
Carrie Wunsch, MD – HIV Primary Care and Correctional Health, Brown

Class of 2018

Alexandra Bachorik, MD – Primary Care and Women’s Health Clinician-Educator, BMC
Salina Bakshi, MD – PCP and Associate Medical Director of Primary Care, BWH
Patricia Foo, MD, PhD – Primary Care Clinician-Educator, Highland Hospital, Oakland, CA
Benjamin Grin, MD – Primary Care Internist, Kansas City, MO
June-Ho Kim, MD, MPH – PCP-Investigator, BWH and Ariadne Labs
Julia Loewenthal, MD – Geriatrician, Clinician-Educator, BWH
Anish Mehta, MD – Director of Clinical Affairs, Eden Health
Sheridan Reiger, MD, MPH – Home Care Clinician and WA Regional Associate Medical Director; ConcertoCare

Class of 2017

Michelle Christopher, MD – Palliative Care Internist, Tulane
Mohammad Dar, MD – Senior Medical Director, Payment and Care Delivery Innovation, Massachusetts Medicaid (MassHealth)
Jessica Hoy, MD – Internist, Indian Health Service
Ravi Parikh, MD, MPP – Clinician-Investigator, UPenn
Tisamarie Sherry, MD, PhD – Deputy Assistant Secretary for Planning and Evaluation (Behavioral Health, Disability and Aging Policy) at US Dept of HHS
Isis Smith, MD – Primary Care and HIV Medicine Clinician-Educator, Tulane
Lindsay Warner, MD – Primary Care Internist, Virginia Mason, WA
Daniel Weisberg, MD – Medical Director, Galileo