UH Med Now
The newest doctors in Hawaii begin the hardest years of their lives, in Residency Training
Pictured: UH Family Medicine Residents take part in a Native Hawaiian Blessing during their welcome ceremony at Pali Momi Medical Center. Deborah Manog Dimaya photo.
By Tina Shelton and Deborah Manog Dimaya for UH Med Now
The major medical centers agreed to become academic medical centers, partnering with UH medical school faculty who are based within the hospitals, to train both 3rd and 4th year medical students from the UH John A. Burns School of Medicine (JABSOM) and the physician Interns, Residents and eventually Fellows (read more below about the different categories) in post-medical school training that is required before doctors can practice medicine on their own. JABSOM faculty supervise the future physicians, often while providing patient care within the medical centers. Most U.S. medical schools have their own University medical centers, but like UH, there are a few that are community-based, relying on the collaboration between the medical community and the school to train future doctors, and maintain high medical standards worthy of national academic medical center program accreditation.
Beginning the Residency is a joyous time, for it signals a great accomplishment: having succeeded in completing medical school, earning the title of doctor. But it also is a relentless years-long period of testing. Long hours, many extreme highs and sometimes crushing lows as the doctors begin to take on the heavy burden that healers assume. We were privileged to meet some of our new Residents in Internal Medicine and Family Medicine just before their Residencies began – and are honored to share their welcome into medical service with you. Doctors, thank you for choosing such challenging careers .. to serve others.
Fellowship: A fellowship is a formal, full-time training program that focuses on a particular area within the specialty, with requirements beyond the related residency. Many highly specialized fields require formal training beyond residency. Examples of these include cardiology, endocrinology, oncology after internal medicine; cardiothoracic anesthesiology after anesthesiology; cardiothoracic surgery, pediatric surgery, surgical oncology after general surgery; reproductive endocrinology/infertility, maternal-fetal medicine, gynecologic oncology after obstetrics/gynecology. There are many others for each field of study. In some specialties such as pathology and radiology, a majority of graduating residents go on to further their training. The training programs for these fields are known as fellowships and their participants are fellows, to denote that they already have completed a residency and are board eligible or board certified in their basic specialty. Fellowships range in length from one to three years and are granted by application to the individual program or sub-specialty organizing board. Fellowships often contain a research component.