"The 'classic' four year training program is offered for individuals who desire a career as a 'hospitalist', as this pathway to certification provides additional experience with endoscopy (for credentialing purposes), committee participation (quality and utilization) and focused subspecialty exposure. It requires a one year traditional internship followed by a three-year internal medicine residency.
The 'fast-track' three year training program is offered for individuals who desire a career that combines ambulatory and hospital medicine. This pathway can be used as an endpoint for practice or as a bridge to subspecialty training. It requires a one-year fast track internship followed by two years of internal medicine residency."