It's been a few years since I interviewed, but my impression at the time was that Georgetown was the most "academic" of the IM residencies in the DC area. The hospital, however, was older and a bit run down, giving the overall impression that the place had seen better days. The PD seemed cool but there appeared to be some unhappiness and/or malignancy there...this has been several years ago and from what DC says above, these problems may be gone. I would have still gone there over WHC or GW, given that the GWU residents didn't seem very interested in their education - more in hanging out in DC and partying, and in the past their board pass rate was not very good. However, the GWU hospital was nice and very modern, and they all got free PDA's, which looked cool. WHC is known for its cardiology, but personally if you want cards I think it is better to do your residency at a university hospital like Georgetown...likely if you check on it they have a better cardiology match rate than either WHC or GWU, or at least are likely to match at better cardiology programs. GWU appears to keep a lot of their own for cards, though, or at least they did in the past, which may work in your favor if you do residency there.