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Medicine-Geriatrics Pathway

Dr. Deborah Freeland exams a geriatric patient

The Medicine-Geriatrics (Med-Geri) pathway is a 4-year combined Internal Medicine residency and Geriatric Medicine fellowship. It is the only Med-Geri program in Texas. 

This program is for physicians who know early on they want to become a geriatrician.

Graduates are board-eligible in both Internal Medicine and Geriatric Medicine.

  • Application Process

    Applications open this fall.

    There are 2 Med-Geri positions each year. This program has a separate NRMP code from the Internal Medicine categorical program. Internal Medicine and Geriatric Medicine faculty are involved in the interview and selection process. Applicants may rank both the Med-Geri and the categorical training program.

    Med-Geri NRMP Program Code: 2835140C4

  • Salaries and Benefits


    Program Year

    Salary + Supplement = Annual Stipend

    Program Year 1 (PGY-1)

    $63,900.00 + $10,000 = $73,900.00

    Program Year 2 (PGY-2)

    $66,355.00 + $10,000 = $76,355.00

    Program Year 3 (PGY-3)

    $69,112 + $10,000 = $79,112.00

    Program Year 4 (PGY-4)

    $73,486.00 + $10,000 = $83,486.00


    • $1,200 annual education fund
    • Medical insurance
    • Pharmacy insurance
    • Vision insurance
    • Dental insurance
    • Accident insurance
    • Disability insurance
    • Life insurance
    • Retirement income plan with contribution matching
    • Parking
    • Cellular phone discounts
    • Lab coat laundry services
    • Discounted tickets to local sporting and entertainment events
    • Resident library
    • Resident lounge
    • Meal cards for overnight call responsibilities
    • VPN accounts for home access to our hospital's medical records and library resources
    • Lunch with daily noon conferences
    • Free access to NEJM Knowledge Plus in intern year and MKSAP in the second and third year of residency
    • Annual stipend to cover conference attendance and other educational expenses
    • UT System site license for Microsoft Office software
    • Additional Benefits: free American Geriatric Society (AGS) Digital Membership, complimentary registration for the AGS Annual Meeting when an abstract is submitted, and the potential for $500 travel stipends for the Annual AGS Meeting
  • Combined Program Benefits

    Benefits include early introduction of Geriatric Medicine frameworks, knowledge, and skills beginning in intern year, and early inclusion in the Geriatric Medicine Division.

    This combined program takes advantage of the natural overlaps in both Internal Medicine and Geriatric Medicine training requirements to allow for more time in fellowship to pursue additional interests and skills, such as:

    • Medical education
    • Aging health policy
    • Research
    • Medical directorship

    Residents obtain a strong Internal Medicine foundation and are fully integrated with the categorical residents.

    • Longitudinal mentorship through the Geriatric Medicine Division extending all four years
    • Continuity house calls panel all four years
    • Geriatric Medicine didactics all four years
    • Geriatric Medicine journal club
    • Abundant opportunities for medical education with medical students, interprofessional students, family medicine and internal medicine residents
    • American Geriatrics Society meetings
    • Flexibility for residents to explore quality improvement, research, medical education, policy, advocacy, and medical directorship
    • Home-Based Primary Care through UT Southwestern and Parkland Hospital
    • Geriatric Assessment Program (GAP) Clinic
    • Acute Care of the Elderly (ACE) Unit
    • Perioperative Optimization of Senior Health (POSH) Program
    • Community Living Center (CLC) at the VA Hospital
    • Two outpatient clinic settings with patients of varying socioeconomic statuses
    • Geriatric Inpatient Consults
    • Returning Seniors to Orthopedic Excellence (RESTORE) Program
    • Hospital Elder Life Program (HELP)


    Residents rotate through premier health care systems including:

    • Parkland Health and Hospital System
    • Dallas Veterans Affairs Medical System
    • William P. Clements Jr. University Hospital
  • Curriculum

    A sample curriculum is shown below. During the first three years, Med-Geri residents follow the same 4+1 schedule as the categorical Internal Medicine residents. During the +1 ambulatory experience, Med-Geri residents will have unique longitudinal experiences in home-based primary care and geriatric medicine clinic, and they will continue to have continuity with their panels through their fourth year.

    • Continuity Clinics
    • Medical Intensive Care Unit
    • Cardiac Care Unit
    • Internal Medicine Wards
    • Geriatric Medicine – ambulatory and inpatient consults
    • Neurology – inpatient and stroke unit
    • Hybrid Subspecialty Rotations – ambulatory and inpatient consults
    • Palliative Care – ambulatory and inpatient consults
    • Elective
    • Vacation
    • Continuity Clinics
    • MICU
    • Perioperative Optimization of Senior Health Program
    • Internal Medicine Wards
    • Emergency Medicine
    • Geriatric Medicine Wards on the Acute Care for the Elders (ACE) Unit
    • Cardiology – inpatient consults
    • Adult Psychiatry
    • Physical Medicine & Rehab
    • Hybrid Subspecialty Rotations – ambulatory and inpatient consults
    • Elective
    • Vacation
    • Continuity Clinics
    • Cardiology – ambulatory
    • Internal Medicine Wards
    • Addiction Medicine – ambulatory and consults
    • Pain Management
    • Geriatric Medicine – inpatient consults
    • Neurology – ambulatory: general and movement disorder clinics
    • Hybrid Subspecialty Rotations – ambulatory and inpatient consults
    • Elective
    • Vacation
    • Continuity Clinics
    • Internal Medicine Wards
    • Geriatric Psychiatry
    • Geriatric House Calls
    • Palliative Care – hospice
    • Long Term Care
    • Skilled Nursing Facility
    • Community Living Center at the VA
    • Ambulatory Experiences – low-vision clinic, podiatry, dental clinic, audiology, driving assessment, Adult Protective Services, and more
    • Elective – opportunities to explore medical education, medical directorship, policy, advocacy, research, quality improvement
    • Vacation

Program Leadership

Dr. Dino Kazi

Salahuddin (Dino) Kazi, M.D.

Internal Medicine Residency Program Director

Dr. Deborah Freeland

Deborah Freeland, M.D.

Medicine-Geriatrics Track Director

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