Patient-Centered, Team-Driven Problem Solving. Individualized Education.
Welcome. We are delighted to have you train in our program at GBMC. We believe that this is an exceptional environment in which to train. GBMC is a successful community-based academic medical center at the cutting edge of innovation in healthcare delivery. Its success, even in a global budget environment (the only state in the US with this health care cost-controlling system), is due to strong leadership and its commitment to always deliver the best healthcare, the kind we would want for ourselves and our families. Based in the Baltimore area, this medical center has a catchment area of 1.2 million with patient referrals up to 100 miles away and includes populations diverse in all sociodemographic categories, medical conditions and medical complexity.
The GBMC Internal Medicine Residency Program recognizes the need for primary care physicians who can heal and lead in all corners of the US healthcare space. As an agile independent hospital in the Baltimore area dedicated to quality and reliability, in close proximity to government and CMS (a driver of innovation in healthcare); in the only state with a global payment system; and with affiliations to Johns Hopkins University, we are well-positioned to prepare our trainees to adapt to and lead change in healthcare. From a scholarship perspective, our department leads the country in supporting a widely circulated medical journal (JCHIMP). We prepare our residents for the many forces which will disrupt, reshape and shift the US healthcare system from the way we know it today. These forces include rapid developments in artificial intelligence and other electronic tools, financial pressures, patient expectations, new therapies, demographic shifts, and the necessity to create a resilient and supportive community that might thrive in this environment. To be successful in this changing environment, residents will need both solid foundational diagnostic and management skills and flexible problem solving and leadership skills. GBMC seeks to match medical students with a strong desire to engage these challenges, whether through patient safety and quality, business of medicine, data management and analysis, education, team leadership, or advocacy.
I hope that you will give us an opportunity to interview you and show you how our program will evolve in the next year to be the leader in primary care training. Read more about our program philosophy.
A Community Hospital with Academic Affiliations
GBMC is located in a rich environment of world-class academic institutions. Its close proximity to several of the nation's most renowned academic healthcare systems allows residents to experience an intimate community setting while gaining competitive skills usually only acquired in a larger institution. Our formal affiliation is with the Johns Hopkins University School of Medicine. Our PGY2 residents all rotate through Neurology at Johns Hopkins and Cardiology Consults at Johns Hopkins Bayview Medical Center, and many others do research and clinical electives with faculty there. Johns Hopkins medical students frequently rotate on our medical teams.
A Supportive Faculty and Connection to Fellowships
Our core faculty members, from various distinguished backgrounds, are unified by their commitment to teaching and their devotion to the residency program. All faculty members have open door policies, work closely with the residents and directly observe their clinical skills in order to provide useful feedback to help them grow as physicians. Promoting a strong learning experience, faculty members are also dedicated to preparing residents for highly competitive fellowship opportunities.
Advanced Medical Technology and Electronic Health Record Systems
GBMC is on the leading edge of the utilization of healthcare information technology, from electronic health records (EHR) and patient portals to computerized provider order entry (CPOE). These advancements have enhanced patient safety as well as outcomes, allowing physicians and care providers to better track and coordinate each patient's care.
In 2016, GBMC was proud to join the EPIC family of EMRs. Medical students with experience using EPIC are particularly encouraged to apply.
Excellence in Primary Care
GBMC has fully embraced the concept of the patient-centered medical home. All of its practices, including the Internal Medicine Residency practice (referred to internally as "the clinic"), have been recognized as level 3 Physician Practice Connections-Patient-Centered Medical Homes (PPC-PCMH) by the National Committee for Quality Assurance (NCQA). This means residents practice with full support from not only their attending physicians, but also a care manager, care coordinator and nurse practitioner, allowing residents to deliver a degree of care that many others cannot.
The clinic's innovative design maximizes residents' relationship with patients while also protecting them in their inpatient duties. The Internal Medicine Residency program combines quarterly block clinics with weekly or biweekly appointments, which are filled only if a patient needs to see his or her resident. Residents only come to clinic when needed, but patients feel their physician is always accessible.
Although designated as a primary care program, the leaders of the Internal Medicine Residency program believe the primary care approach trains residents in the longitudinal management skills that are critical in all specialties. For a select group of residents interested in a long-term relationship with GBMC, a special track is being created that integrates central clinic experience with an additional continuity site embedded with one of GBMC's other successful primary care practices.
A clean, modern facility in a safe setting.
GBMC is a 281-bed medical center (acute and sub-acute care) located on a beautiful suburban campus and handles more than 26,700 inpatient cases and approximately 60,000 emergency room visits annually. Since its founding in Towson in 1965, GBMC's accomplishments have validated the vision of its founders to combine the best of community and university-level medicine. GBMC's main campus also includes three medical office buildings: Physicians Pavilion East, Physicians Pavilion West and Physicians Pavilion North I. In addition to its main campus located in Towson, GBMC primary care offices are located throughout the Baltimore County community.
GBMC is particularly proud of its transparency regarding safety and quality. Check out what we're doing for patient and quality measures.
Paul N. Foster, MD
Program Director, Internal Medicine Residency Program
Paul N. Foster, MD
Dr. Foster graduated from Yale University. Prior to entering medical school, Dr. Foster spent three years in the US Peace Corps as a high school teacher and public health worker. He graduated from Harvard Medical School and completed his Internal Medicine Residency at the University of Washington in Seattle. He was a Chief Resident at Swedish Hospital as part of his senior year of training. He comes to GBMC from Tucson, Arizona where he was Internal Medicine Unit Chief of a community health center. Clinical interests include cross-cultural medicine, medical error reduction, and general internal medicine.
Melvin Blanchard, MD
Chairman of Medicine
Melvin Blanchard, MD
Melvin S. Blanchard, MD, FACP, is the Chairman of Medicine at GBMC. Most recently, he was Professor of Medicine, Vice Chair for Education in the Department of Medicine, and Chief of General Medicine at Washington University in St. Louis.
Dr. Blanchard earned his Doctor of Medicine degree from the University of Tennessee Health Science Center in Memphis and completed his residency in Internal Medicine at the Barnes-Jewish Hospital/Washington University in St. Louis, Missouri. During residency, he was selected as a third-year Chief Resident at the affiliated VA Medical Center.
Dr. Blanchard’s contributions to medical education and leadership have been nationally recognized through his leadership in the Alliance for Academic Internal Medicine (AAIM), an organization that provides training to medical educators over the continuum of Internal Medicine education, where he serves as Vice Chair of the board. He is also a past president of the Association of Program Directors in Medicine (APDIM).
Dr. Blanchard has remained clinically active in outpatient and inpatient settings throughout his career. He believes that everything physicians do (whether it’s clinical services, education, or research) should focus on three things: preventing human disease, improving how patients feel, and improving how patients function.
The full spectrum of clinical experience
Our residents receive second-to-none instruction in all areas of the clinical experience. From chronic disease management and preventive health care, to management and business aspects of the modern primary care practice.Read More
Frequently Asked Questions
- There are 20 PGY-1 positions available:
- 12 categorical Primary Care: NRMP#1241140M0
- 8 preliminary: NRMP #1241140P0
There are a total of 231 licensed beds.
How many admissions are there to the medical service annually?
There are approximately 10,000 annual submissions.
What is the average daily census on the medical service?
Interns typically admit 3-5 patients with up to an additional 2 transfers. Average intern census is 4 patients. Average resident census is 10-15 patients.
What types of careers do the program's graduates pursue?
In the past five years our graduates have pursued the following career paths:
- 22% pursued careers as primary care physicians.
- 43% entered fellowship training.
- 35% practice as Hospitalist physicians.
PGY-1 residents do not have night calls during the first 6 months of the year. During the initial 6 months they have an average of 2 long calls (16 hours) each week during their general floor months. In the latter 6 months, interns will have night calls on a rotating shift schedule. Critical Care interns follow a rotating shift schedule for the whole year. PGY-2 residents have 4 weeks night float duties. PGY-3 residents have a total of four 1-week night float rotations. General medicine residents have call two 14-hour nights during their one month general medical floor rotation. Critical Care residents work twelve hour shifts.
What will my employment contract look like?
View the actual contract used for the 2016-2017 academic year residents. We are expecting no significant changes for next year's residents.
What kind of visas do you accept for graduates of foreign medical schools?
Given the complexity of the current immigration process, we give some preference to United States citizens and permanent residents. We do, however, encourage applications from outstanding applicants of any background. Historically we have supported applications for J-1 visas for a couple applicants each year. We have not needed to resort to the H-1 process and are unlikely to do so in the future.
Do you require clinical experience in the United States?
Externships and medical school rotations in American hospitals are invaluable in helping us identify extraordinary candidates. We do not, however, require such experience.
Do you have a cut off for USMLE scores?
In general our residents have excellent board scores, averaging in the 240s on both USMLE Step 1 and Step 2. We typically do not grant interviews to candidates who have ever failed a step of the USMLE. Unless an applicant has a particularly superb record, we discourage applicants who have graduated more than 5 years ago.
Do you accept applications from international medical graduates?
Our goal is to matriculate the highest quality intern class possible. We frequently have excellent candidates from overseas institutions.
Do you have medical student clerkships, externships, or observerships?
Unfortunately, we do not offer any observerships.