Internal Medicine Residency Program

Scholarly activity is central to ChristianaCare’s Internal Medicine residency. During your residency, you will deepen your ability to critically review the medical literature and have the opportunity to sharpen your skills as a researcher.

Building the future of Internal Medicine

All Internal Medicine residents complete at least one scholarly activity during their residency. These activities include, but are not limited to, case reports, publications in the peer-reviewed literature, clinico-pathologic conferences, quality improvement/patient safety projects, and clinical research. These scholarly activities encourage residents to satisfy their intellectual curiosity and place the clinical information they’ve acquired into the context of population health and the overall health system. In addition, residents gain writing and presentation skills, work closely with one or more faculty mentors, improve their abilities to search and understand the medical literature, and potentially gain skills in performance improvement and evaluation. Residents who complete one or more scholarly activities are generally considered more competitive candidates for fellowship and other career opportunities. Click here for a complete listing of resident publications and presentations.

The Value Institute

The Value Institute is the “research hub” of ChristianaCare. Staffed with over 30 clinician investigators, information technology data analysts, biostatisticians, administrators, and support staff, the Value Institute conducts independent research, health system analyses, and provides research support to the ChristianaCare Community as a whole. From evaluating the impact of health innovations on the State level, to providing residents with methodological and statistical support, the Value Institute is a rich resource, unique to ChristianaCare. Click here, to learn more about the Value Institute.

Multidisciplinary Resident Research Training Program

The Resident Research Training Program is a multidisciplinary offering open to residents from all training programs at ChristianaCare. This longitudinal program provides participants with core content on research methodologies, as well as the infrastructure and mentorship support to design, complete, present, and publish an independent research project. Residents can apply in the PGY-2 year.

Core Research Faculty & Support

LeRoi S. Hicks, MD MPH, Hugh R, Sharp, Jr. Chair of the Department of Medicine is the recipient of numerous clinical and research awards and is nationally known for his research on health care disparities. His research has been related to three areas: (1) The effects of patients’ racial and cultural background on the treatment and clinical outcomes of chronic disease; (2) the development and assessment of interventions aimed at improving quality of medical care and the reduction of disparities in care; and (3) community-based participatory research to identify and address healthcare disparities.

Gretchen D. Rickards, MD, MPH is the Program Director of the Internal Medicine Residency Program. She completed a fellowship in general internal medicine and faculty development at the Walter Reed National Military Medical Center as well as a Master’s of Public Health at the Uniformed Services University of the Health Sciences. She has published and presented nationally on research related to medical education.

Michael Guarino, MD is the Director of Clinical Pharmaceutic Studies at the Helen F. Graham CCRI, a member of the NCI supported Alliance and NRG research groups, and Principal Investigator on numerous cancer clinical trials and physician initiated trials. Dr. Guarino is a clinical investigator on the National Cancer Institute-sponsored Cancer and Leukemia Group B (CALGB); the National Surgical Adjuvant Breast and Bowel Project (NSABP), a clinical trials cooperative group supported since its inception by NCI; and the Gynecologic Oncology Group (GOG), a not-for-profit organization that promotes excellence in the quality and integrity of clinical and basic scientific research in the field of gynecologic malignancies.

Michael T. Vest, DO is a pulmonary/critical care physician and member of the Clinical Research Committee in the Department of Medicine.  His research focuses on intensive care unit outcomes. Dr. Vest has published and presented a variety of studies on nutrition in the intensive care unit and studies concerning quality of life outcomes among survivors of critical illness. As pulmonary/critical care fellow at Yale University, he work with Surveillance Epidemiology and End Results (SEER)-Medicare linked data which resulted in publication of two studies which help shed light on differences in our approach to management of non-small cell lung cancer. He has worked extensively with residents as a research mentor on both intensive care unit related projects and projects related to outcomes of simulation based education.

Alfred Bacon III, MD is the Medical Director of Clinical Trials for the Department of Medicine an infectious disease specialist. He has extensive experience as a collaborator in clinical trials, most recently the MODIFY trial which examined the efficacy of Bezlotoxumab for treatment of recurrent C. Difficile infection, published in the New England Journal of Medicine. He leads the fecal microbiota transplant program at ChristianaCare and has worked extensively with medical residents to examine outcomes related to this program.

Kirk Garratt, MD, MSc., the John H. Ammon Chief of Cardiology at ChristianaCare, is an interventional cardiologist and a highly regarded leader in quality, patient safety and performance improvement. He has participated in clinical research for more than 30 years, authored more than 300 publications, and is a reviewer and editor for multiple medical journals. He has earned recognition, awards and grants for academic achievement, research, teaching and mentorship.

Ginger Huros is the administrative support for the residency research program and serves as a valuable resource to help residents through the process of getting their research approved and obtaining funding for scholarly activities.