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Internal Medicine-Geriatrics Pathway

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

    Medicine-Geriatrics Stipends for 2025-2026

    Program YearSalary + Supplement = Annual Stipend
    Program Year 1 (PGY-1) $70,101 + $10,000 = $80,101
    Program Year 2 (PGY-2) $72,672 + $10,000 = $82,672
    Program Year 3 (PGY-3) $76,167 + $10,000 = $86,167
    Program Year 4 (PGY-4) $80,299 + $10,000 = $90,299

    Benefits

    Explore UT Southwestern Employed Resident Benefits

    Additional Benefits offered to Residents

    Malpractice Insurance

    All residents are enrolled in professional liability insurance administered by The University of Texas System Professional Medical Liability Benefit Plan. Coverage is effective upon enrollment and extends to all training sites during the duration of residency training.

    Paid Time Off

    Residents will be provided with four weeks of PTO each academic year from July 1 to June 30th.

    • For Parkland, PTO will be front loaded at the start of employment
    • For UTSW employed, 8.33 PTO hours will be accumulated each month

    Up to one month per academic year is permitted for time away from training, including vacation, holiday, illness, family medical leave, bereavement leave, pregnancy related leave. In accordance with ACGME Policy, residents are provided six weeks (240 hours) of approved maternal, parental, and caregiver leave of absence. The Maternal, Paternal, Caregiver leave benefit is 100% paid and runs concurrently with Family and Medical Leave Act (FMLA).

    Parking

    Free parking is provided at all campus and hospital sites.

    Uniforms

    Residents are provided two pairs of scrubs and one jacket with embroidered name and program. Additional scrubs are available at hospital sites.

    Meals

    Free lunch is provided every week day during noon conference at the three main hospital sites (Parkland, Clements University Hospital, Dallas VA). Parkland and CUH meal cards are allocated for meal purchases during overnight call.

    Education and Travel Allowance

    Each resident is allocated $2,000 each academic year to cover educational and travel expenses:

    • $1000 towards educational expenses (e.g. textbooks, board prep courses, journal subscriptions, board examinations, etc.)
    • $1000 towards conference travel expenses

    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

    Also included

    • In-house moonlighting opportunities available
    • Residents' lounge – An oasis in the middle of it all; stocked with coffee, a refrigerator, a microwave, sofas, cable television, and a ping-pong table!
    • VPN accounts for home access to our hospital's medical records and library resources
    • Free access to MKSAP for all residents and UWorld bulk purchased and covered by educational expenses.
    • UT System site license for Microsoft Office software
  • 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)

    Rotations

    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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