Hi all! I am posting this on behalf of my Program Director as we have a couple of openings in our Internal Medicine Residency program. Please see below for more information.

An unexpected opportunity has opened up in Milwaukee! Our Internal Medicine Residency Program currently has two PGY-2 positions available for qualified transfer applicants.

We are a growing, close-knit Internal Medicine program that combines the clinical breadth of a tertiary-care hospital with community-based medicine, strong faculty mentorship, and an academic curriculum designed to prepare residents for careers in hospital medicine, primary care, or fellowship.

And while we take training excellent physicians very seriously, we don’t believe residency has to lose its sense of community or fun along the way!

Why Ascension Wisconsin?

Our residents train primarily at Ascension Columbia St. Mary’s Hospital, a tertiary-care hospital in the heart of Milwaukee, Wisconsin, with additional experience at Ascension St. Joseph Hospital, where residents care for an underserved and medically complex patient population.

Our curriculum provides broad exposure to inpatient medicine, critical care, ambulatory medicine and the Internal Medicine subspecialties. PGY-2 residents have experiences in:

• Inpatient Internal Medicine
• ICU
• Night Float
• Hospital Medicine
• Cardiology
• Neurology
• Infectious Diseases
• Rheumatology
• Ambulatory Medicine
• Elective rotations

Residents can further individualize their education through electives including Cardiovascular ICU, Electrophysiology, POCUS/Emergency Medicine Procedures, Obesity Medicine, Radiology, Psychiatry, Pain Medicine, and Hematology/Oncology and Radiation Oncology, among others.

Our educational program includes Journal Club, PICO/evidence-based medicine conferences, Adverse Event/Morbidity & Mortality Conference, CPC, Grand Rounds, subspecialty conferences, palliative care education and multidisciplinary teaching. Residents also receive access to AMBOSS, participate in the Yale Office-Based Medicine Curriculum, and receive American College of Physicians membership.

Most importantly, we are building a program where residents know one another, faculty know their residents, and trainees have a meaningful voice in shaping the program. We value mentorship, curiosity, teamwork, professionalism and the idea that residency should produce not only outstanding internists, but physicians who genuinely enjoy practicing medicine and working with one another.

And then there’s Milwaukee…

Milwaukee is a fantastic place to spend residency. We’re located along Lake Michigan in a city with professional sports, Summerfest, an outstanding restaurant and brewery scene, festivals, museums, beaches and lakefront trails, with a cost of living that still makes resident life manageable.

It’s a big enough city to always have something to do and a small enough city that you can actually do it.

Who Should Apply?

These positions are intended for physicians who have successfully completed the prerequisite training necessary to enter a categorical Internal Medicine Residency at the PGY-2 level ( completed preliminary IM year) ,or who are currently training at the PGY-2 level in an ACGME-accredited Internal Medicine residency program and are seeking a transfer opportunity. Applicants must be in good standing with their current or most recent residency program and demonstrate satisfactory academic performance, clinical competence, professionalism, and progress appropriate to their level of training. 

Appointment will be contingent upon completion of the program’s standard application and credentialing process, including verification of prior graduate medical education, satisfactory documentation of training and performance, eligibility for appointment at the PGY-2 level, applicable licensure and employment requirements, and all institutional and ACGME requirements.

All qualified applicants will receive consideration consistent with applicable institutional policies and federal and state requirements.

If you’re looking for a program where you can receive rigorous clinical training, know your faculty, find great mentors, help shape a growing residency, and have some fun while becoming an excellent internist, we would love to hear from you. Please email the Program Director, Dr Vaishnavy Bhaskaruni, vaishnavy.bhaskaruni@ascension.org, or the Program Coordinator, Brittany Miller, brittany.miller3@ascension.org with your resume and interest.

Thanks all!

Our program is hiring a new IM PGY-1! We are a university-affiliated program with kind attendings and good work-life balance, located in the mid-Atlantic region. Since this is off-cycle, only non-visa requiring candidates will be accepted. Please DM for more info!

PGY2 USMD in an advanced specialty who did a community IM prelim year at a place with no fellowship. I want to switch to categorical IM and apply to fellowship (not cards, GI, heme onc). How can I find a PGY1 spot?

Wtf? They have people that can cover they just don't want to do it.

I am PGY-1 IM in Dallas and want to swap PGY-2 IM in Houston/ Woodlands/ Kingwood/ Sugarland/ Galveston area.Anyone who is interested for 2027- PGY-2 can reach out to me.

I was wondering if couple matching of both green card holder non us img was better than going single as a non us img green card holder if both the profile are same

There were a couple folks who had leads for a psych vacancy but they’re not very active on Reddit (or not replying to my DM idk)

I initially applied psychiatry and simultaneously to a single FM program in my hometown. The algorithm was unkind and I matched FM. I resigned after 2 years because my wife is stable in her career and encouraged me to pursue my dream

I really do not want to do Family Medicine and every moment here has made me regret checking the box to apply here (for no other reason except psychiatry is and always has been my first true love)

Anyways, I'm non-visa requiring, ECFMG certified, USMLE Step1/2/3 passed on first attempt. I have my PD letter, psychiatry reference letters, and other letters from faculty available. No geographic preference, and can start immediately.

Hi as title mentions I wanted to gauge the logistics behind repeating intern year pgy1 by re-entering ERAS for same specialty. Does this happen? If so, how do you discuss with current PD (since ERAS is sept).

This seems daunting to initiate convo with PD since you are literally 2 month in trying to transfer

Hi as title mentions I wanted to gauge the logistics behind repeating intern year pgy1 by re-entering ERAS for same specialty. Does this happen? If so, how do you discuss with current PD (since ERAS is sept)

Really scared of discussing with PD as i am literally only 2 month in (due to ERAS due date) asking to change

All through med school, I was 100% OBGYN-bound. But I had so many people telling me not to do it—including an OB mentor who genuinely seemed frustrated with the specialty and told me she wouldn't choose it again.

Then I had a really bad Sub-I experience that completely messed with my head. I started questioning everything and listening to everyone else's opinions instead of my own. People talked about the lifestyle, the lawsuits, the burnout, the difficult patients... eventually I convinced myself they were right.

I ended up dual applying OB and EM. I wanted to take a year off, I was having really what I now think was imposter syndrome and didn't feel in the right headspace to make any big life decisions, but my med school would not let me. I matched EM—which was my choice at the time—and now I'm an intern.

The problem is I can't stop thinking about OB.

Every time I'm in the hospital, I find myself wishing I were upstairs delivering babies instead of in the ED. I miss the OR. I miss procedures that lead to definitive outcomes. I miss the idea of following patients through pregnancy and being the specialist they came to see, instead of constantly triaging and stabilizing before someone else takes over.

I chose EM because I wanted the better work-life balance, shift work, and flexibility. I loved my EM sub-is as a med student but I now think as a med student my experience was overly curated, I was pulled to all the fun traumas, interesting tox cases, rescucistatiops and did a lot more procedures than I'm finding I get to do now, or even that my seniors get to do. I think I thought it was going to be like "surgery-lite." I loved my surgery rotation but knew I didn't want to do general surgery. The biggest deciding factor between EM and OB was I was terrified of ending up as an OB generalist forever if I didn't match into my dream fellowship which is one of the more competitive ones. EM felt like the "safer" choice with a better lifestyle.

But now I'm wondering if I made a decision based on fear instead of what I actually wanted.

Has anyone else switched from EM to OB (or vice versa)? Or realized early in residency that they chose the wrong specialty? Did the feeling go away, or did you end up switching?

I'm only at the beginning of intern year, and I honestly don't know if this is just normal adjustment or if I'm mourning the specialty I should have chosen. I love the people in EM, my coresidents, attendings, the nurses. I feel at home and a sense of belonging I did not feel in OB but the work doesn't inspire me. I dread having to go in every day and it's only been 4 weeks since I finished orientation. I'm just not excited about it and thinking of doing a whole career of this makes me nauseous. I feel incredibly guilty for feeling this, especially because so many people went out their way to make EM a possibility for me later in the application cycle.

Hi everyone! Does anyone know of any FM programs with an open PGY-2 spot right now? I’m looking for a current vacancy/transfer opportunity.
Please let me know if you hear of anything. Thank you!

PGY2 rad onc seeking PGY2 rads or PGY1 path

There’s a few IM residencies I have come across that have vacancies. I enjoy my current program so far, but it is very far from my entire family. I have 0 support system out here. I’m interested in applying to a spot that is closer to home. Should I just apply after the 45 day mark or should I first reach out to my PD? I’m scared to tell my PD in case the new program goes with another applicant. I don’t want to be on her bad side for the next few years.

I'm a PGY-1 anesthesia resident doing a medicine intern year, and I've been struggling with some pretty intense specialty regret.

I genuinely hate medicine. I hate covering the wards. I hate consult services. I dread the day-to-day work, and every week feels like I'm just trying to survive until the next rotation. I know medicine intern year isn't anesthesia, but it's still the path I chose, and it's making me question everything.

For context, I took a dedicated research year in plastic surgery between my third and fourth year of medical school. I was very involved in plastic surgery research and was originally planning to apply plastics. At the last minute, I switched into anesthesia.

My reasoning at the time seemed very logical. I was worried about the length of training, lifestyle, work-life balance, and whether I wanted to spend my entire 30s in residency and fellowship. I was also thinking about having a life outside of medicine.

The irony is...I don't really have some incredibly rich life outside of work that I'm trying to protect. I don't have kids. I'm single. I don't have particularly time-consuming hobbies. I keep wondering what exactly I was optimizing for.

Now I'm working a ton of hours anyway, except I'm doing work that I genuinely don't enjoy. In some ways, that feels worse than working long hours for something I found deeply meaningful.

Another thing I've realized is that I think I was mourning more than just a specialty. I was mourning the opportunity to become really good at a craft that felt unique and difficult. Plastic surgery felt like something I would have been incredibly proud of learning. I don't know if that's romanticizing it, but I can't shake the feeling.

The other complicating factor is that I don't even know if I'll love anesthesia. During my rotations, I never hated it. I also never had that "this is absolutely it" feeling. It was interesting enough, tolerable, and I liked aspects of it, but I wasn't passionate about it. I chose it because it seemed like the smarter life decision.

Now I keep wondering whether I confused "less stressful" with "more fulfilling."

I'm also aware that this could just be intern year depression talking. Everyone says medicine intern year is miserable regardless of your eventual specialty. Maybe if I were a plastics intern, I'd be equally exhausted and questioning my decisions for completely different reasons. Maybe this is just a classic case of "the grass is greener."

I'm 31 years old now, and part of what drove my decision was feeling like I was already "behind" and wanting to finish training sooner. Looking back, I wonder whether I gave too much weight to my age. Does another few years of training really matter over the course of a 30-year career? Or am I selectively forgetting all the reasons I decided against plastics in the first place?

I feel like I got all the way to the finish line of applying plastics and then turned around at the very end. Now I keep wondering if I gave up something that would have been a better fit because I was trying to optimize for a future that may not even exist.

Has anyone else gone through something similar? Especially people who switched away from a competitive surgical specialty—or people who seriously considered surgery and chose anesthesia instead.

Did the regret fade once you actually became an anesthesia resident? Or did you realize you had made the wrong choice?

I'm not looking for reassurance that I made the "right" decision. I genuinely want to hear from people who've been on either side of this.

Current IM resident at a community hospital in the Southeast, looking to switch to GS.

Hi everyone I am a green card holder non us img with a good financial background

I was wondering if doing 6 months hands on usce will compensate for lack of connections as I am from a new school

I am okay with spending money as long it helps in match