Residency Pathways


Categorical pathway is a traditional three-year internal medicine pathway with a focus on inpatient and outpatient clinical setting and increasing autonomy during the years of training. Two apparent themes of this pathway are patient care and career development.

Center of Excellence pathway offers primary care training and is based at the Louis Stokes Cleveland VA Medical Center. The program began in 2011 when the Louis Stokes Cleveland VA Medical Center received a $5 million federal grant to offer physicians and nurse practitioner learners a novel and visionary approach to health care in the 21st century. The pathway has several curricular components: training in the six sigma and other performance improvement tools; leadership in quality improvement care; interdisciplinary team based care; proactive care; real time patient feedback; humanities in health care and virtual health care.

Leadership in Medical Education pathway is similar to the Categorial pathway with more emphasis on developing skills necessary to become effective educators and leaders in a medical community. The pathway focuses on leadership skills with formal didactics, workshops, and exposure to leadership roles with the residency program and health care system.

International Health pathway provides clinical training similar to Categorial pathway, while offering international medical experiences. The Department of Medicine has had a long and outstanding tradition in international health in research, education and clinical practice. Admittance into this pathway allows residents to be eligible for a certificate in International Health from the American Society for Tropical Medicine and Hygiene (ASTMH).

Harrington Physician-Scientist pathway was designed to provide exceptional clinical and research training for the most competitive candidates pursuing academic medicine. The pathway offers leading-edge opportunities in basic, clinical and translational research. Upon the successful completion of the clinical training in the residency program, trainees are placed in the subspecialty fellowship position of their choice.

Geriatrics - Internal Medicine pathway is a combined four-year pathway that includes standard internal medicine training with a focus on geriatrics inpatient and outpatient rotations. Upon the completion of the pathway, residents are able to sit for both intenral medicine and geriatrics boards.

Preliminary pathway offers an outstanding one-year clinical experience in adult medicine for trainees pursuing long-term careers in a variety of fields.The emphasis is placed on practical patient care training through hands-on educational experiences.

Please note that in order to match into one of our pathways, you must rank it on the NRMP website, which counts each pathway as a separate program. It is no problem if you initially did not apply for the pathways on ERAS as NRMP is a separate entity.  In order to be considered for these pathways, you must rank it on NRMP – this is especially important for the Center of Excellence pathway as the schedule is unique.