Outpatient General Internal Medicine physicians play a pivotal role in Michigan Medicine's mission of providing excellent patient care, research, and education and training. They serve as the main point of contact for their patients, helping them to understand diagnoses, medicines, tests, procedures, and lifestyle changes that are recommended, either by their specialists or themselves. They are key players in education and training, with much of their efforts going towards teaching students, residents, and fellows in their clinics. They are greatly involved in research, with interests that include quality and safety, medical education, delivery of health care, and health care outcomes, to name just a few.
Learn how general medicine's role in managing COVID-19 patients, and the rapid evolution of telehealth, sets the stage for a different future: An Unsung Linchpin of Pandemic Care.
Aaron Parzuchowski, MD, MPH; Sarah Hartley, MD, MHPE, FACP (Hospital Medicine); Kristin Collier, MD, FACP; and Allison Ruff, MD, MHPE, FACP worked collaboratively with colleagues at St. Joe’s to apply for and were awarded a Proud to Be GIM Grant from SGIM and ACP.
#ProudtobeGIM is a campaign by the Society of General Internal Medicine (SGIM) aimed at encouraging medical students and residents to pursue General Internal Medicine (GIM). This grant was used to host a GIM Social Gathering and Story Slam & Open Mic event, highlighting GIM careers and experiences, during #ProudtobeGIM week in February 2022.
Learn what some of our Michigan Medicine leaders have done with their General Internal Medicine training.
John Ayanian, MD, MPP
“My clinical work as a general internist gives me meaningful insights into how our patients are affected by broad policy decisions, and these insights shape the research that my colleagues and I are doing to improve health care for our patients and many others. By combining general internal medicine and health policy research, I can serve patients one-on-one with my clinical skills while also promoting more equitable and effective care for communities at the state and national levels.”
Dr. John Ayanian is the director of the U-M Institute for Healthcare Policy and Innovation.
Greta Branford, MD
“Long ago, I set out to be a primary care provider and chose to pursue that as an internal medicine/pediatrics physician.
But while I love caring for patients, I am always bothered by system improvements that are needed. Also, I see my fellow colleagues struggling as increased compliance requirements combined with the electronic medical record evolution is contributing to record provider burnout. Although I am not exceedingly ‘techie’ and never imagined being an informatician, my background of primary care has been very important in my current role in clinical informatics. Designing workflows, improving the design of the electronic medical record and improving clinical decision support to help both providers and patients relies on the basic knowledge of ambulatory care. I love that my training has provided me the background and position to not only help patients, but also my colleagues and institution as a whole.”
Dr. Greta Branford is an associate chief medical information officer at Michigan Medicine.
Mark Fendrick, MD
“My career path as a generalist provided me the opportunity to pursue multiple, diverse research areas and practice medicine across the entire spectrum of clinical care. This flexibility enabled me to work closely with colleagues from several medical and nonmedical disciplines who contributed significantly to my personal and professional growth.”
Dr. Mark Fendrick is the director of U-M’s Center for Value-Based Insurance Design.
Susan Goold, MD, MHSA, MA
“For me, general internal medicine combines intellectual satisfaction (since you never know all the answers); the fulfillment that comes from ongoing relationships with patients, getting to know them as whole people, not just diseases; and some modest contribution to public health, with its emphasis on health promotion and disease prevention.”
Dr. Susan Goold is a bioethicist and health care researcher.
Maria Han, MD
“As a general medicine physician, I care for my patients when they are well and when they are sick. Caring for them often requires working with providers across specialties and coordinating care across the care continuum. This longitudinal look gives me a unique understanding of the entire health care delivery system and allows me to recognize places where the system is failing patients and where we need to work to improve.”
Dr. Maria Han is the medical director of the Michigan Medicine Population Health Office.
Eve Kerr, MD, MPH
“When I did my internal medicine rotation in the third year of medical school, I knew I had found the specialty I wanted to be in for the rest of my career. As a general internist, I get to both think deeply about diagnosis and treatment and consider the needs of the whole patient in management plans (not just one of their organ systems). I’ve been privileged and challenged to be the primary care provider for adults with complicated medical problems and to make an impact on their lives over time.”
Dr. Eve Kerr is the division chief for the Division of General Medicine in the Department of Internal Medicine.
Rajesh Mangrulkar, MD
“In 1998, choosing general internal medicine felt more like not choosing to subspecialize rather than explicitly entering a career path. But that impression was completely wrong. My true passion is complex interactions of systems, broad thinking and the longitudinal relationships I am privileged to develop with my patients. These are hallmarks of a general internist."
“This approach also mirrors my work in education, innovation and leadership. My typical day as an associate dean is exactly like my typical outpatient clinic day - anything can walk in, and I need to leverage complex thinking, communication and problem-solving skills in both realms of my professional life. I couldn’t be happier with my decision.”
Dr. Rajesh Mangrulkar is the U-M Medical School associate dean for medical student education.
James Woolliscroft, MD
“I’ve always enjoyed Sherlock Holmes stories because he took a clue here and a clue there and put it all together in a thoughtful application of everything he knew. We do the same in general internal medicine. In addition, this discipline provides superb training for leadership roles because of its emphasis on the importance of breadth of knowledge and vision. General internists learn how to be both a member and a leader of a team, how to be a listener and the importance of engaging highly skilled domain experts. Our discipline, like a leadership role, also requires comfort with uncertainty, the need to make decisions even if all desired information is not available and the ability to recognize when a course change is needed.”
Dr. James Woolliscroft is the past dean of the U-M Medical School and the Lyle C. Roll Professor of Medicine.