Clinical Training Programs and Pathways

Clinical Training Programs

Residents and faculty talking to a patient

The residency program offers both a "traditional" (i.e. categorical) and a primary care / general internal medicine (GIM) track. The PGY-1 experience for each track is identical and house staff from both tracks work "side-by-side" on inpatient rotations and in the resident's continuity clinic, the Randy Barker Medical Group (RBMG), a certified patient-centered medical home.

Beginning in the PGY-2 year, house staff who choose the GIM track have an expanded general medicine ambulatory experience and curriculum while those in the traditional program may tailor elective time to focus on one or more medical sub-specialties, perform research activities, or participate in the ambulatory components of the GIM program. There is flexibility in the program, and it is not uncommon for residents to change tracks during training as their learning objectives and career goals evolve.

Pathways

Medicine is entering a period of rapid transformation. Pressures on health care systems and new scientific frontiers are creating urgent demand for leaders in patient safety, global health, medical education, health systems innovation, and scientific discovery. At the same time, more residents are identifying these career paths early in their training and seeking opportunities to build the expertise needed to lead. 

The Johns Hopkins Bayview Internal Medicine Residency, in collaboration with the Osler Program, is committed to meeting this moment. Our Pathways Program provides structured opportunities for residents to explore emerging fields, develop specialized skills, receive mentorship from world-class faculty, and chart individualized career trajectories. By connecting our residents with the full resources of Johns Hopkins Medicine and the university, we cultivate physicians who will not only excel at the bedside but also shape the future of medicine. 

Overall Structure 

The Pathways Program represents an innovative approach to career development in graduate medical education. It transforms the second and third years of training into specialized experiences that include structured coursework, hands-on projects, advanced exposure to experts and content, and individualized mentorship. 

Because of the resources and focused training involved, not all residents will participate, and not all who apply will be accepted. Pathways are intended for residents who anticipate that their chosen domain will become central to their future career. Residents apply to pathways at the end of their internship year, and if selected, replace some traditional training experiences with more focused opportunities aligned with their pathway. 

Current Pathways 

Patient Safety and Quality Improvement Pathway

Residents gain advanced training in patient safety, quality improvement, and systems-based practice. Through coursework, projects, and mentorship, participants develop the skills to design, implement, and evaluate initiatives that improve clinical care at the institutional and national level. 

Medical Education Pathway

This pathway is designed for residents with a passion for teaching and curriculum development. Residents receive training in pedagogy, curriculum design, feedback, and assessment while engaging in mentored education projects that prepare them to become future clinician-educators. 

Global Health Pathway

Residents explore the challenges of delivering care in resource-limited settings through both didactic learning and field experiences. Opportunities include global clinical rotations, research, and partnerships with international health organizations, with mentorship from faculty across Johns Hopkins. 

Physician Scientist Pathway (PSP) 

The Physician Scientist Pathway is designed to train clinically excellent physicians who are equally committed to scientific discovery. Residents in the PSP pursue research interests ranging from basic science to translational and clinical investigation while receiving outstanding clinical training. 

Our goal is to recruit, inspire, and develop physician scientists who will make scientific breakthroughs that advance the future of medicine. This pathway formalizes Johns Hopkins’ long tradition of nurturing physician investigators. Bayview residents may join the PSP during their intern year, gaining structured mentorship, dedicated research time, and access to the extraordinary scientific resources of Johns Hopkins.