Internal Medicine Residency: BMC South Track

Our General Medicine ward teams consist of one resident and one intern and are devoted to taking care of general medicine patients. Each team rounds with a dedicated teaching hospitalist. This structure fosters close supervision and robust bedside teaching.

Categorical interns rotate for 2 to 4 weeks at BMC Brighton, focusing primarily on cardiology patients. These patients are typically cohorted on a single floor, allowing for a concentrated learning experience under the guidance of dedicated cardiology faculty and fellows.

A designated Day Float resident (PGY-2 or PGY-3) admits patients during the day, enabling ward teams to focus on uninterrupted bedside rounds and teaching. This rotation enhances residents’ skills in clinical reasoning, efficiency, and admissions workflow.

Overnight, a Night Float team, comprising one resident and one intern, manages admissions and provides cross-coverage for the General Medicine service.

Our Intensive Care Unit (ICU) team provides comprehensive care for both medical and cardiovascular patients within an 18-bed multidisciplinary unit. The day team consists of one PGY-2 resident and two interns, while the night team includes one PGY-3 resident and one intern. This structure ensures continuous, high-quality care and learning across shifts. Residents are exposed to a wide range of critically ill patients with diverse pathologies. They gain firsthand experience responding to rapid responses and codes and managing very complex cases, including those with rare diagnoses. Our ICU also has an Advanced Practice Providers (APPs) team during the day and night. Our APPs are highly skilled, with many decades of critical care experience, and are available to assist residents during the day and night with procedures and in responding to urgent clinical situations.

At the Lemuel Shattuck Hospital, the inpatient ward team includes one resident from the BMC South Track and three interns, some of whom come from other residency programs across Boston. The hospital plays a vital role in bridging gaps in the healthcare system, serving individuals in state care and custody, as well as community members with complex medical and psychosocial needs. Through partnerships with the Massachusetts Department of Mental Health (DMH) and Department of Correction (DOC), the hospital provides high-quality care in a secure setting to patients with chronic mental illness and to incarcerated individuals.

Our PGY-3 residents also rotate through the Emergency Department. This rotation consists of approximately eight eight-hour shifts over a two-week period, totaling four weeks. It offers valuable exposure to acute care, triage, and emergency management in a fast-paced clinical environment.

Neurology

PGY-2 residents rotate on the inpatient neurology consult service at BMC Brighton, working closely with a dedicated neurologist to evaluate and manage patients with a wide range of neurological conditions. To enrich their clinical experience, residents also attend weekly neuroradiology conferences during the rotation, gaining deeper insight into neuroimaging and diagnostic approaches.

Medical Consults (Pulmonology, Cardiology, GI, Infectious Disease)

Residents (PGY-1 through PGY-3) rotate on the inpatient medical consultation service, where they evaluate consults and round with subspecialty faculty. This experience offers residents exposure to complex cases and interdisciplinary collaboration that enhances diagnostic and management skills.

In our 4+2 block system, two dedicated consecutive weeks of every six weeks are dedicated to ambulatory outpatient training.

Continuity Clinic

During each ambulatory block, categorical residents and interns spend two full days per week in their continuity clinic, located in a primary care office. Each resident is assigned to a primary care clinic preceptor and remains with the same attending physician throughout their three years of training. The focus is on learning how to manage a broad array of illnesses in an outpatient setting and the most important aspects of primary care, including chronic disease management and preventive care. This opportunity allows the residents to develop a continuous, therapeutic relationship with a panel of general internal medicine patients during the period of their training.

Subspecialty Clinics

The remaining half-days during the ambulatory block are spent rotating in various internal medicine subspecialty and other specialty ambulatory areas. Current offerings include Cardiology, Advanced Heart Failure, Endocrinology, Infectious Diseases, Nephrology, Neurology, Pulmonary, and ENT. We are in the process of expanding our subspecialty clinic experiences to include additional disciplines, further enriching residents’ exposure to outpatient specialty care.

Academic Friday Mornings

During the ambulatory week, Friday morning is dedicated to didactics and hands-on activities. The first session is designated for a Physician Education and Assessment Center (PEAC) module conducted by chief residents or core faculty physicians. The second session is designated as a hands-on activity including POCUS sessions with dedicated faculty and Code Blue/RRT teaching sessions, including Mock sessions. Half-day study allows residents to independently study and prepare for an upcoming presentation or conduct research or quality improvement activities.

Onsite

We offer elective rotations in Cardiology, Gastroenterology, Infectious Diseases, Nephrology, Pulmonary Medicine, and Emergency Medicine.

Offsite

Residents may wish to do one offsite clinical elective of their choice (up to four weeks in duration) during their second or third year of residency training, with the approval of the program director. Residents may also have opportunities to do rotations at the Boston Medical Center main campus in certain subspecialties.

Scholarly Activities

Every year, residents are encouraged to publish in peer-reviewed journals and present at national conferences.

National Conferences

The program financially supports the residents presenting at conferences with research conducted at BMC Brighton and BMC South. Our residents present at a variety of local, regional, and national meetings each year.

Published Research

Many of our residents pursue research during their training and successfully publish their work. Those with research interest are supported in identifying mentors aligned with their chosen field. Many faculty members are actively engaged in clinical and basic sciences research, offering residents valuable opportunities for collaboration and scholarly development.

Resident Publications

• Parvez A, Ugurlu M, Mirza MUZ, Perosevic N, Manzoor K. Extragonadal mediastinal nonseminomatous germ cell tumor with large mediastinal mass. Am J Respir Crit Care Med ATS J. 2024 Oct;166(4):A3624. Link
• Shah G, Solangi A, Devi A, Kumar A, Sah R, Khanal P, Shah S, Sah S, Mirza U, Solangi Z. Safety and efficacy of low dose versus high dose corticosteroid for graft versus host disease (GVHD): a systematic review. ASH Publ Blood. 2024 Nov;144(1):7695. doi: 10.1182/blood-2024-206297
• Farooq M, Mirza MUZ, Jaronko J, Manzoor K, Schembri F, O’Reilly S. Cheverly hemoglobin: a rare case of hypoxemia. Chest. 2024 Oct;166(4):A5499–A5500. Link
• Mirza MTZ, Farooq M, Mirza MUZ, Manzoor K. Pseudo-hypoglycemia: a common recurring error in the intensive care unit. Chest. 2024 Oct;166(4):A2177–A2178. Link
• Mahmoud AK, Farina JM, Awad K, et al. Lipoprotein(a) and long-term in-stent restenosis after percutaneous coronary intervention. Eur J Prev Cardiol. 2024;31(15):1878-1887. doi:10.1093/eurjpc/zwae212.
• Mahmoud AK, Farina JM, Pereyra M, et al. To the editor: Artificial intelligence applied to ECG predicts mortality after a transcatheter aortic valve replacement. Prog Cardiovasc Dis. Published online Mar 15, 2025. doi:10.1016/j.pcad.2025.03.004
• Mahmoud AK, Kamel I, Awad K, et al. The complementary effects of GLP-1 receptor agonists and SGLT2 inhibitors in transthyretin cardiac amyloidosis patients: A retrospective multicenter cohort study. Int J Cardiol.2025;438:133567. doi:10.1016/j.ijcard.2025.133567
• Mahmoud AK, Awad K, Farina JM, et al. Controlled low-density lipoprotein cholesterol attenuates cardiovascular risk mediated by elevated lipoprotein(a) after percutaneous coronary intervention. Coron Artery Dis.2025;36(3):183-189. doi:10.1097/MCA.0000000000001460
• Kamel I, Mahmoud AK, Younes A, Horn B, Dietzius H. Myocardial infarction and cardiovascular risks associated with cannabis use: A multicenter retrospective study. JACC Adv. 2025;4(5):12. doi:10.1016/j.jacadv.2025.101698
• Lingamsetty SSP, Doma M, Kritya M, Thyagaturu H, Ubaid M, Jitta SR, Prajapati K, Ramadan A, Al-shammari AS, Martignoni FV, Seto A, Shlofmitz E, Basir MB, Megaly MS, Goldsweig AM. Mechanical outcomes of coronary stenting guided by intravascular ultrasound versus optical coherence tomography: a systematic review and meta-analysis with trial sequential analysis of randomized trials. Int J Cardiol.2025;438:133387. doi:10.1016/j.ijcard.2025.133387
• Dean YE, Loayza Pintado JJ, Rouzan SS, Nale LL, Abbas A, Aboushaira A, Alkasajy F, Ghanem AA, Patil VM, Gordeyeva Y, Motawea KR, Le MLP, Ramadan A, Cicani L, Attta R, et al. The relationship between irritable bowel syndrome and metabolic syndrome: a systematic review and meta-analysis. Endocrinol Diab Metab.2025;8(3):e7004. doi:10.1002/edm2.7004

Quality Improvement

The program has an integrated curriculum on Quality Improvement that is facilitated by Dr. Bertrand Jaber (Chair of Medicine, BMC Brighton), which occurs during ambulatory blocks during an administrative half-day.

Residents are required to complete a Quality Improvement (QI) project during residency. Completed projects are presented annually at the Annual Quality Improvement Presentation.