Residents may progress to subspecialty training following the three "core" years (such individuals tend to apply to programs across the country as well as to our own).  Physicians seeking careers as Generalists may apply to GIM midway through the second year.  The third year is similar to that of other residents in the "core" program but includes the addition of a weekly longitudinal GIM clinic and participation in other academic activities of the Division of General Internal Medicine.  During the fourth year, the residents spends four months on the GIM consultation services and the remainder of the year is tailored to the needs of the individual.  A maximum of six months in any individual subspecialty is permitted.  Residents participate throughout both years in the rounds, Journal Club, and other activities of the Division of General Internal Medicine. Dr. Troy Pederson is the R4 GIM coordinator.