{"id":9110,"date":"2017-10-03T12:52:00","date_gmt":"2017-10-03T16:52:00","guid":{"rendered":"https:\/\/www.bumc.bu.edu\/im-residency\/?page_id=9110"},"modified":"2026-11-05T13:41:52","modified_gmt":"2026-11-05T18:41:52","slug":"pathways","status":"publish","type":"page","link":"https:\/\/www.bumc.bu.edu\/im-residency\/categorical-training-program\/pathways\/","title":{"rendered":"Pathways"},"content":{"rendered":"<p style=\"text-align: left;\"><span>The Internal Medicine Residency Program at BUMC offers residents specialized tracks, known as pathways, that provide individualized additional training in areas of expertise and distinction. Enrollment in pathways is open to residents in the fall of PGY2.<\/span><\/p>\n<p><a href=\"\/im-residency\/files\/2026\/09\/Resident-Pathway-Descriptions.pdf.pdf\">Resident Pathway Descriptions<\/a><\/p>\n<div class=\"bu_collapsible_container \" aria-live=\"polite\" data-customize-animation=\"false\"><h4 class=\"bu_collapsible\" aria-expanded=\"false\"tabindex=\"0\" role=\"button\">Health Equity Across Populations Pathway<\/h4><div class=\"bu_collapsible_section\" style=\"display: none;\"><\/p>\n<p>Though health equity is embedded throughout the general residency curriculum, residents have the opportunity to deepen their knowledge and experience through participating in the Health Equity Across Populations Pathway. This pathway prepares residents to work as agents of change in their field of choice, equipped with a robust understanding of health equity and its application in clinical practice, research, leadership, and advocacy in diverse local and global contexts.<\/p>\n<p>Residents craft their own learning goals and work with pathway leadership and mentors to work towards meeting them over the subsequent two years through didactic sessions, clinical exposures, and work on a scholarly project. We aim to network participants to projects, faculty, and organizations that will provide venues for high quality experiences pertinent to health equity during residency and across their careers. Through exposure to diverse faculty at BMC, in Boston, and globally, residents explore the range of what a career in health equity can look like and find potential mentors. The pathway builds upon the foundation set during intensive weeks at the start of the pathway with evening sessions throughout the two years and an additional immersion week. To gain real-world exposure and apply what they&#8217;ve learned in clinical practice, residents engage in clinical experiences which can include an additional outpatient clinic,\u00a0 equity-focused electives, and\/or global health rotations. All pathway residents are asked to complete a scholarly project during the pathway to help build their skillsets as a change-maker. This can take the form of a research project, educational session, advocacy or activism work, quality improvement or program development, or other form as aligned with resident goals. Throughout the pathway, residents form a learning community and engage in guided self-reflection to build critical consciousness of their positionality and how it affects their work. <\/div>\n<\/div>\n\n<div class=\"bu_collapsible_container \" aria-live=\"polite\" data-customize-animation=\"false\"><h4 class=\"bu_collapsible\" aria-expanded=\"false\"tabindex=\"0\" role=\"button\">Medical Educator Pathway<\/h4><div class=\"bu_collapsible_section\" style=\"display: none;\">\n<p style=\"text-align: center;\"><iframe loading=\"lazy\" width=\"560\" height=\"315\" src=\"https:\/\/www.youtube.com\/embed\/oxgKMouayf8\" frameborder=\"0\" allow=\"accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture\" allowfullscreen=\"allowfullscreen\"><\/iframe><\/p>\n<p>The Medical Educator Pathway is designed for residents interested in becoming clinician educators. The curriculum is aimed at developing resident skills related to giving effective educational presentations and teaching clinical reasoning, while simultaneously guiding residents towards implementing educational initiatives on campus and producing scholarly work.<\/p>\n<p>The pathway is directed by <a href=\"https:\/\/www.bumc.bu.edu\/busm\/profile\/robert-lowe\/\">Dr. Robert C Lowe<\/a>, an award winning medical educator. Dr. Lowe uses the literature on medical education and learning theory to guide practical discussions and workshops for the residents. He also selects other dedicated faculty who provide expertise in areas such as mentoring, providing feedback, and highlighting career paths for clinician educators to speak with the residents throughout the year.<\/p>\n<p>Opportunities available to residents include teaching medical students in classroom settings and on the wards, developing curriculum used by the residency program, and being observed while presenting clinical cases followed by receiving feedback.<\/p>\n<p><strong>Previous Med Ed Projects<\/strong><\/p>\n<ul>\n<li>Development of the Boston Medical Center Resident Initiated Guide to Discussing Goals and Expectations (BRIDGE) document, a guideline to help residents properly orient interns and medical students at the beginning of an inpatient rotation, with a focus on effective communication and regular feedback.<\/li>\n<li>\u00a0Drafting the Second Year Medical Student\u00a0Cardiology Class Syllabus, which previously used only a commercial textbook.<\/li>\n<li>Developing a pilot program on mentoring MD\/PhD Students prior to the transition from their research years to the beginning of their clinical rotations. <\/div>\n<\/div>\n<\/li>\n<\/ul>\n<div class=\"bu_collapsible_container \" aria-live=\"polite\" data-customize-animation=\"false\"><h4 class=\"bu_collapsible\" aria-expanded=\"false\"tabindex=\"0\" role=\"button\">HIV Pathway<\/h4><div class=\"bu_collapsible_section\" style=\"display: none;\"><\/p>\n<p style=\"text-align: left;\">The HIV Pathway trains physicians in cutting-edge longitudinal care of patients with HIV. Caring for patients at the Center for Infectious Diseases at BMC is a unique opportunity to specialize in team-based HIV medicine as a resident.\u00a0 Boston Medical Center has one of the largest and most diverse HIV clinics in the Boston area. <span class=\"x_spanWithBackgroundColor\" data-olk-copy-source=\"MessageBody\">Of over\u00a01,900 people with HIV in 2026:<\/span><\/p>\n<ul>\n<li><span class=\"x_spanWithBackgroundColor\" role=\"presentation\">68% were black or African American<\/span><\/li>\n<li><span class=\"x_spanWithBackgroundColor\" role=\"presentation\">16% were Latino<\/span><\/li>\n<li><span class=\"x_spanWithBackgroundColor\" role=\"presentation\">42% were women<\/span><\/li>\n<li>\n<div class=\"x_elementToProof\" role=\"presentation\"><span class=\"x_spanWithBackgroundColor\">61% were foreign-born<\/span><\/div>\n<\/li>\n<\/ul>\n<p>Physicians trained in general medicine, infectious diseases, and other subspecialties continue to be vital to the care of patients with HIV; therefore, participants in the HIV pathway will also have a variety of career paths.<\/p>\n<p>Residents will develop expertise in management of HIV including anti-retrovirals and HIV-associated co-morbidities and will also become adept at caring for patients in a team which includes care management, social work, addiction treatment, peer advocates, nursing, pharmacy, and mental health providers. <\/div>\n<\/div>\n\n<div class=\"bu_collapsible_container \" aria-live=\"polite\" data-customize-animation=\"false\"><h4 class=\"bu_collapsible\" aria-expanded=\"false\"tabindex=\"0\" role=\"button\">Framingham Heart Study Pathway<\/h4><div class=\"bu_collapsible_section\" style=\"display: none;\"><\/p>\n<p style=\"text-align: center;\"><iframe loading=\"lazy\" width=\"560\" height=\"315\" src=\"https:\/\/www.youtube.com\/embed\/-BwR6Fj-ab4\" frameborder=\"0\" allow=\"accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture\" allowfullscreen=\"allowfullscreen\"><\/iframe><\/p>\n<p><img loading=\"lazy\" src=\"\/im-residency\/files\/2017\/10\/fram_heart_logo.jpg\" alt=\"Framingham Heart Study logo\" width=\"228\" height=\"227\" class=\"alignleft wp-image-9403 size-full\" srcset=\"https:\/\/www.bumc.bu.edu\/im-residency\/files\/2017\/10\/fram_heart_logo.jpg 228w, https:\/\/www.bumc.bu.edu\/im-residency\/files\/2017\/10\/fram_heart_logo-150x150.jpg 150w, https:\/\/www.bumc.bu.edu\/im-residency\/files\/2017\/10\/fram_heart_logo-100x100.jpg 100w\" sizes=\"(max-width: 228px) 100vw, 228px\" \/>The\u00a0<a href=\"https:\/\/www.framinghamheartstudy.org\/\">Framingham Heart Study<\/a>\u00a0is a long term cohort study, currently in it\u2019s third generation, investigating risk factors for cardiovascular disease among the population of Framingham, Massachusetts. The FHS partners with the BU School of Medicine and School of Public Health under the leadership of pathway director and BU Associate Professor of Medicine,<span>\u00a0<\/span><a href=\"https:\/\/www.bumc.bu.edu\/busm\/profile\/vanessa-xanthakis\/\">Dr. Vanessa Xanthakis.<\/a><\/p>\n<p>The FHS Pathway offers residents training in clinical epidemiology and provides opportunities for mentored research with established FHS investigators. The pathway is designed for residents who are committed to a career in translational or clinical investigation. Pathway activities involve formal didactics (on research design and methods, introduction to biostatistics, and introduction to cardiovascular epidemiology), mentored original research, \u201chands-on\u201d engagement in FHS research center activities, and structured career and peer mentorship. <\/div>\n<\/div>\n\n<div class=\"bu_collapsible_container \" aria-live=\"polite\" data-customize-animation=\"false\"><h4 class=\"bu_collapsible\" aria-expanded=\"false\"tabindex=\"0\" role=\"button\">Quality Improvement &amp; Patient Safety (QIPS) Pathway<\/h4><div class=\"bu_collapsible_section\" style=\"display: none;\"><\/p>\n<p style=\"text-align: center;\"><iframe loading=\"lazy\" width=\"560\" height=\"315\" src=\"https:\/\/www.youtube.com\/embed\/0yUJCTkFiwU\" frameborder=\"0\" allow=\"accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture\" allowfullscreen=\"allowfullscreen\"><\/iframe><\/p>\n<p>The Quality Improvement &amp; Patient Safety (QIPS) Pathway is designed for those seeking leadership\u00a0in improving our healthcare system. All internal medicine residents at Boston Medical Center participate in quality improvement projects in their second year. The project teams are usually headed by members of the QI Pathway. Many lead further projects in their senior year targeted towards their particular interests. Residents who are selected for the QIPS Pathway are those that want to take improvement further and truly make it a part of their career in medicine. The QIPS Pathway is designed to create the future leaders of medicine. It focuses on promoting the knowledge, teamwork, and teaching skills necessary to take on a leadership role in improving systems of care, both locally and abroad.<\/p>\n<p>While in the pathway, residents become deeply involved in the operations of our medical center to promote exceptional care for our patients\u00a0including the following:<\/p>\n<ul>\n<li>Joining various operations committees<\/li>\n<li>Working directly with the executive leadership and board of trustees<\/li>\n<li>Collaborating with the Massachusetts Medical Society and in the Massachusetts Chapter of the American College of Physicians\u00a0Council of Residents.<\/li>\n<li>Serving in numerous roles in concert with the Institute for Healthcare Improvement (IHI), such as co-chairing the National Forum for Quality Improvement in Health Care<\/li>\n<li>Attending the Academy for Emerging Leaders in Patient Safety (formerly the Telluride Patient Safety Round Table) and being chosen as ACMQ National Quality Scholars and Lown Right Care Educators.<\/li>\n<\/ul>\n<p><span><strong>QI Projects<\/strong><\/span><\/p>\n<p>Residents frequently obtain funding for improvement projects. A $25,000 grant was recently awarded to a QIPS resident to improve transitions of care.\u00a0Boston Medical Center is a leading hospital in supporting its residents\u00a0in Quality Improvement both with financial resources and by encouraging and welcoming resident attendance at meetings with top hospital\u00a0executives.<\/p>\n<p>Recent Projects in the Pathway Include:<\/p>\n<ul>\n<li>Efforts to improve hand hygiene in the intensive care unit<\/li>\n<li>Smoking cessation in high risk patients<\/li>\n<li>Optimizing medication reconciliation<\/li>\n<li>Increasing adverse event reporting<\/li>\n<\/ul>\n<p><strong>QIPS Core Competencies<\/strong><\/p>\n<ul>\n<li>IHI self-study certificate<\/li>\n<li>Completion of the ACP\/APDIM Cost Conscious Care Curriculum<\/li>\n<li>Experience with the Boston Medical Center QIPS office including involvement in Root Cause analysis meetings, medical-legal meetings, and multi-disciplinary (RNs, IT, administration) project implementations<\/li>\n<li>Involvement in at least one QIPS and\/or IT Committee at BMC<\/li>\n<li>Development and implementation of a QIPS project either by the individual or in conjunction with other members in the pathway<\/li>\n<li>VA Patient safety elective (At least 1 elective block)<\/li>\n<li>Mentoring with QIPS experts in the Department of Medicine, VA, and at BMC level <div class=\"bu_collapsible_container \" aria-live=\"polite\" data-customize-animation=\"false\"><h3 class=\"bu_collapsible\" aria-expanded=\"false\"tabindex=\"0\" role=\"button\"><\/h3><div class=\"bu_collapsible_section\" style=\"display: none;\"><\/div>\n<\/div>\n<\/li>\n<\/ul>\n<p><\/div>\n<\/div>\n\n<div class=\"bu_collapsible_container \" aria-live=\"polite\" data-customize-animation=\"false\"><h4 class=\"bu_collapsible\" aria-expanded=\"false\"tabindex=\"0\" role=\"button\">Point of Care Ultrasound (POCUS) Pathway<\/h4><div class=\"bu_collapsible_section\" style=\"display: none;\"><\/p>\n<p><img loading=\"lazy\" src=\"\/im-residency\/files\/2024\/08\/POCUS1-400x300.jpg\" alt=\"\" width=\"400\" height=\"300\" class=\"size-medium wp-image-14274 alignleft\" srcset=\"https:\/\/www.bumc.bu.edu\/im-residency\/files\/2024\/08\/POCUS1-400x300.jpg 400w, https:\/\/www.bumc.bu.edu\/im-residency\/files\/2024\/08\/POCUS1-1024x768.jpg 1024w, https:\/\/www.bumc.bu.edu\/im-residency\/files\/2024\/08\/POCUS1-768x576.jpg 768w, https:\/\/www.bumc.bu.edu\/im-residency\/files\/2024\/08\/POCUS1-1536x1152.jpg 1536w, https:\/\/www.bumc.bu.edu\/im-residency\/files\/2024\/08\/POCUS1-2048x1536.jpg 2048w\" sizes=\"(max-width: 400px) 100vw, 400px\" \/><\/p>\n<p>The point of care ultrasound pathway aims to provide participants with a longitudinal experience so they achieve competency in the core IM POCUS applications. Starting in the 2nd post graduate year, pathway residents will have dedicated time to develop image acquisition and interpretation skills through a combination of small group lectures, precepted scanning instruction, image review, and simulated cases. All residents will generate an image portfolio, participate in near-peer education, and work on a scholarly project. Upon graduation, pathway residents will be prepared to apply for POCUS credentials at their future institution and incorporate POCUS into their clinical work.<\/p>\n<p><img loading=\"lazy\" src=\"\/im-residency\/files\/2024\/08\/POCUS2-301x300.jpg\" alt=\"\" width=\"301\" height=\"300\" class=\"size-medium wp-image-14273 alignleft\" srcset=\"https:\/\/www.bumc.bu.edu\/im-residency\/files\/2024\/08\/POCUS2-301x300.jpg 301w, https:\/\/www.bumc.bu.edu\/im-residency\/files\/2024\/08\/POCUS2-1024x1022.jpg 1024w, https:\/\/www.bumc.bu.edu\/im-residency\/files\/2024\/08\/POCUS2-150x150.jpg 150w, https:\/\/www.bumc.bu.edu\/im-residency\/files\/2024\/08\/POCUS2-768x767.jpg 768w, https:\/\/www.bumc.bu.edu\/im-residency\/files\/2024\/08\/POCUS2-550x550.jpg 550w, https:\/\/www.bumc.bu.edu\/im-residency\/files\/2024\/08\/POCUS2-710x710.jpg 710w, https:\/\/www.bumc.bu.edu\/im-residency\/files\/2024\/08\/POCUS2-300x300.jpg 300w, https:\/\/www.bumc.bu.edu\/im-residency\/files\/2024\/08\/POCUS2-600x600.jpg 600w, https:\/\/www.bumc.bu.edu\/im-residency\/files\/2024\/08\/POCUS2-100x100.jpg 100w, https:\/\/www.bumc.bu.edu\/im-residency\/files\/2024\/08\/POCUS2.jpg 1170w\" sizes=\"(max-width: 301px) 100vw, 301px\" \/><img loading=\"lazy\" src=\"\/im-residency\/files\/2024\/08\/POCUS3-297x300.jpg\" alt=\"\" width=\"297\" height=\"300\" class=\"size-medium wp-image-14272 alignleft\" srcset=\"https:\/\/www.bumc.bu.edu\/im-residency\/files\/2024\/08\/POCUS3-297x300.jpg 297w, https:\/\/www.bumc.bu.edu\/im-residency\/files\/2024\/08\/POCUS3-1015x1024.jpg 1015w, https:\/\/www.bumc.bu.edu\/im-residency\/files\/2024\/08\/POCUS3-768x775.jpg 768w, https:\/\/www.bumc.bu.edu\/im-residency\/files\/2024\/08\/POCUS3-100x100.jpg 100w, https:\/\/www.bumc.bu.edu\/im-residency\/files\/2024\/08\/POCUS3.jpg 1170w\" sizes=\"(max-width: 297px) 100vw, 297px\" \/><\/p>\n<p><\/div>\n<\/div>\n\n","protected":false},"excerpt":{"rendered":"<p>The Internal Medicine Residency Program at BUMC offers residents specialized tracks, known as pathways, that provide individualized additional training in areas of expertise and distinction. Enrollment in pathways is open to residents in the fall of PGY2. Resident Pathway Descriptions<\/p>\n","protected":false},"author":13849,"featured_media":0,"parent":9369,"menu_order":4,"comment_status":"closed","ping_status":"closed","template":"","meta":[],"_links":{"self":[{"href":"https:\/\/www.bumc.bu.edu\/im-residency\/wp-json\/wp\/v2\/pages\/9110"}],"collection":[{"href":"https:\/\/www.bumc.bu.edu\/im-residency\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.bumc.bu.edu\/im-residency\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.bumc.bu.edu\/im-residency\/wp-json\/wp\/v2\/users\/13849"}],"replies":[{"embeddable":true,"href":"https:\/\/www.bumc.bu.edu\/im-residency\/wp-json\/wp\/v2\/comments?post=9110"}],"version-history":[{"count":50,"href":"https:\/\/www.bumc.bu.edu\/im-residency\/wp-json\/wp\/v2\/pages\/9110\/revisions"}],"predecessor-version":[{"id":15017,"href":"https:\/\/www.bumc.bu.edu\/im-residency\/wp-json\/wp\/v2\/pages\/9110\/revisions\/15017"}],"up":[{"embeddable":true,"href":"https:\/\/www.bumc.bu.edu\/im-residency\/wp-json\/wp\/v2\/pages\/9369"}],"wp:attachment":[{"href":"https:\/\/www.bumc.bu.edu\/im-residency\/wp-json\/wp\/v2\/media?parent=9110"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}