Clinical Structure of the Department

Clinical structure team photo

 

The Department of Medicine has experienced tremendous growth over the past several decades under great leadership.  Following in this tradition, in 2021, Dr. Karen Freund, a nationally recognized leader in health care disparities research and women’s health, became the first woman chair of the department.  

We have approximately 200 full time faculty, 78 internal medicine residents (with plans for expansion over the next few years), and 76 fellows in internal medicine subspecialty fellowships. We have 14 clinical divisions with amazing clinical, educational and research opportunities.   

Inpatient Medical Service

The inpatient medical services consist of approximately 135 beds divided among the following clinical services cared for by resident lead teams:

  • Cardiology (including electrophysiology and heart failure)
  • Coronary Care Unit
  • Gastroenterology
  • General Internal Medicine
  • Geriatrics
  • Hematology/Oncology
  • Infectious Diseases
  • Leukemia/Bone Marrow
  • Medical Intensive Care Unit
  • Nephrology
  • Pulmonary

The usual ward team consists of one resident, one intern, one senior medical student, one junior medical student, and a full time attending physician. Inpatient care revolves around house staff with fellows serving in a consulting role. The subspecialty system and our small team sizes are unique. Generally, patients are assigned to the subspecialty service appropriate for their illness. As a result, house officers are taught about various disease entities by staff physicians who are experts in their specialty. We feel that this greatly enhances both patient care and house staff education. 

Another unique feature of our program is the full time attending physician who is also the physician of record on all hospitalized patients. This means that the house staff only have to interact with one attending for the management decisions on their patients as well as for teaching purposes. 

The patient population is extraordinary in its cultural and clinical diversity. Our growing Primary Care offices in Boston, Quincy, Framingham and Wellesley contribute a large base of primary care for the hospital. Our long standing tradition of excellent subspecialty care has resulted in strong referral bases that continue to supply us with an outstanding spectrum of tertiary and quaternary care medicine. Our hospital consistently has the first or second highest case mix index in Massachusetts (a measure of complexity of care).