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 patient 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
    • Junior year: 8 two-week ambulatory blocks plus 2-4 weeks elective
    • Senior year: 5 two-week ambulatory blocks plus 10-12 weeks elective
  • 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.
  • Special events throughout the year bring together the DGM faculty and residents to foster mentoring, collaboration and social connections.
  • DGM residents have almost twice as many ambulatory blocks across the three years of training as their categorical colleagues, allowing more in-depth ambulatory training, a comprehensive curriculum tailored to the future PCP, and relevant elective experiences including homeless medicine, addiction medicine, women’s health, adolescent health, LGBTQ health, primary care innovation, and others.
  • DGM residents may elect to participate in one of the Pathways available through the larger residency.

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

Annie Duckles​

University of Pennsylvania​

Jenny Hong​

Emory

Clare Landefeld​

Cleveland Clinic​

Lauren Malishchak​

Tufts

Fabiola Molina​

UCSF

Laura Nicholson​

Harvard

Maria Patanwala​

UCSF

PGY-2

Emilie George​

Cornell​

Margaret Hayden​

Harvard

Sanjay Kishore​

Harvard

Rebecca Lichtin

Columbia

Pooja Mehta

Harvard

Prihatha Narasimmaraj​

UCSF

Luisa Paredes Acosta​

UNC

Badar Patel​

UT Houston​

PGY-1

Beret Amundson

Emory

Micah Johnson

Harvard

Daniel Liauw

UNC

Miguel Linares

UCSF

Emily Moore

Vanderbilt

Soraya Naqvi​

UT San Antonio​

Brittany Ricci​

Brown

Lisa Simon

Harvard

Resident ReflectionS

On DGM:​

The best part of the program is the people! DGM is such a warm and supportive community, and my co-residents inspire me, comfort me, and teach me. The program attracts and cultivates a culture of advocacy, reflection, and empowerment. It feels so amazing to be a part of such a community of leaders.

Clare Landefeld, PGY3

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, PGY1

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, PGY2

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, PGY3

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, PGY1

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, PGY2

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, PGY1

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, PGY3

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, PGY3

I love being able to walk most places (including to work!) and that there is always something to do -- whether that be trying a new spot for dinner or making it to the special exhibit that's in town at the MFA or ICA.

Lauren Malishchak, PGY3

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 2020-2021 Primary Care Chief Medical Resident is Dr. Tina Meade.

I joined the BWH PCARE family in 2017 as a resident in the DGM program, and have been so grateful to be a part of this wonderful community, which has been my home within the residency. I know that I have lifelong relationships (and frequent curbside consults) in my co-residents from both the DGM and HMVA programs, and I am so thrilled to have an opportunity to work with the residents this year as the primary care chief resident. The best part of this job is the opportunity to learn from and collaborate with the incredible primary care residents in countless ways, including curricula like our joint journal club “clin epi” curriculum and shared outreach efforts at community center in Dorchester. If you are looking for rigorous inpatient & outpatient training alongside like-minded individuals, passionate about primary care, advocacy, and community health, I encourage you to consider the BWH primary care programs!

Tina Meade, 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 2020

Ayrenne Adams, MD, MPH, Clinical Leadership Fellow, NYC Health and Hospitals
Katie Baird, MD, Primary Care Internist, MGH
Emily Cetrone, MD, Geriatrics Fellowship, BMC
Tina Meade, MD, Primary Care Chief Resident, BWH
Chioma Okwara, MD, Hospitalist, BWH
Anita Rao, MD, Primary Care Internist, Atrius Health
Hallie Rozansky, MD, Addiction Medicine Fellow, BMC
Lisa Rotenstein, MD, MBA, Clinician-Administrator, BWH
Priscilla Wang, MD, Population Health Fellowship, MGH
Yan Emily Yuan, MD, Endocrinology Fellowship, BWH

Class of 2019

Cricket Fisher, MD, MPhil, Hospitalist, 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, Clinician-Educator, Duke
Meghan Rudder, MD, Obstetric Medicine Fellowship, Brown
Kristine Torres-Lockhart, MD, PCP and Addiction Medicine, Montefiore
Aileen Wright, MD, Clinician-Informaticist, Vanderbilt
Carrie Wunsch, MD, HIV Primary Care and Correctional Health, Brown

Class of 2018

Alexandra Bachorik, MD, Clinician-Educator, BMC
Salina Bakshi, MD, Clinician-Administrator, BWH
Patricia Foo, MD, PhD, Clinician-Educator, Oakland, CA
Benjamin Grin, MD, Primary Care Internist, Kansas City, MO
June-Ho Kim, MD, MPH, Clinician-Researcher, BWH and Ariadne Labs
Julia Loewenthal, MD, Geriatrician, Clinician-Educator, BWH
Anish Mehta, MD, Director of Clinical Affairs, Eden Health
Sheridan Reiger, MD, MPH, Hospitalist, Brown

Class of 2017

Michelle Christopher, MD, Palliative Care Internist, Tulane
Mohammad Dar, MD, Medical Director for ACOs, MassHealth
Jessica Hoy, MD, Internist, Indian Health Service,
Ravi Parikh, MD, MPP, Clinician-Investigator, UPenn
Tisamarie Sherry, MD, PhD, Clinician-Investigator, JHU and Rand Corp
Isis Smith, MD, Internist and HIV Provider, Tulane
Lindsay Warner, MD, Primary Care Internist, Virginia Mason, WA
Daniel Weisberg, MD, Medical Director, Galileo

Class of 2016

Megan Buresh, MD, Primary Care and Addiction Medicine Clinician-Innovator, Baltimore
Alessandra Calvo-Friedman, MD, Clinician-Educator, NYC Health and Hospitals
Amy Flaster, MD, MBA, Clinician-Administrator, BWH and MGB
Michelle Nemer, MD, Clinician-Educator, Case Western
Sim Kimmel, MD, MA, ID and Addiction Med Clinician-Researcher, BMC
Rachel Reid, MD, Clinician-Researcher, BWH and Rand Corp.
Cynthia So-Armah, MD, Clinician-Administrator, BWH
Kevin Sullivan, MD, Internist, Boston Healthcare for the Homeless