Educational Experience

Patient checking a resident's heart

The Ohio State University Wexner Medical Center (OSUWMC) Internal Medicine Residency Program and the Nationwide Children's Hospital Pediatric Residency Program (NCH) came together in 1985 to create the Combined Internal Medicine-Pediatrics Residency. 


The Med-Peds residency program is structured to provide increasing responsibility in both patient care and teaching supervision over the four years. The resident also has progressively more elective time throughout the program to allow for an individualized overall experience.

Our training program combines direct patient care with both formal and informal educational experiences. Our principal aim is to provide an education to residents which enables them to render superlative medical care to patients of all ages. At the completion of their training, our residents are able to provide excellent primary care and, if so desired, are outstanding candidates for fellowship training. Overall, approximately 50% of the graduates of our program pursue primary care while 50% elect to pursue fellowship training.

Inpatient Experience

The OSUWMC and NCH inpatient wards include subspecialty services as well as general internal medicine and general pediatric services. Patients admitted to subspecialty services require both a specialized approach to their medical problems and attention to their general health. Ward rounds are conducted daily with an attending physician who maintains the academic forum for patient care. Resident contact with faculty physicians is an integral component of our program.

Outpatient Experience

The ambulatory patient care educational experience in internal medicine includes the general internal medicine and specialty clinics at OSUWMC, outpatient VA experience, dedicated geriatric rotation and the emergency department. A two block longitudinal experience known as the Senior Ambulatory Block affords PGY4 residents the opportunity to tailor their outpatient curricula and provides them a longitudinal experience in multiple specialty clinics of their choosing.

The outpatient component at NCH includes the Sports Medicine Clinic, Adolescent Clinic, Behavioral/Developmental Clinic, subspecialty and surgical clinics and the emergency department. At least six blocks are spent in the various pediatric clinics.  Med-Peds residents provide continuing medical care to their own population of patients through continuity clinic throughout their four years of training.  During the PGY2-PGY4 years weekly clinic rotations in a private Med-Peds (IM-PECS) practice enhance the exposure to “real world” ambulatory medicine. 


The didactic components of the training program center on a variety of conferences and hands-on simulation experiences. Examples of regular conferences include Resident Report, Resident Didactic Sessions, Emergency Lecture Series, Grand Rounds, Morbidity and Mortality conference, ethics conference and a large number of weekly subspecialty conferences.  Simulation is incorporated and highly valued in both the pediatric and medicine arenas in the form of mock experiences and regularly scheduled simulation sessions. A favorite and hallmark of our program, our Med-Peds journal club convenes monthly over dinner to discuss current topics in patient care and research and provides a forum for residents and their families to gather outside of the hospital.  

Primary Care Services

NCH and the OSUWMC Department of Internal Medicine have partnered to create The South High Center for Primary Care. The center provides health care to the underserved South Side community of Columbus, while also providing an outstanding outpatient training center for the Med-Peds residents. Our community clinic has received NCQA-Patient Centered Medical Home Level 3 status.  The clinic is staffed by physicians board certified in both internal medicine and pediatrics, as well as nursing staff, a social worker, dietician, and pharmacists, all dedicated to resident education and improving the health of the community.  The expanded facility has a large resident work area, twelve patient rooms, on on-site laboratory and up-to-date equipment. This innovative clinic gives you the foundation in ambulatory medicine and patient experience you need to succeed.