Medicine-Pediatrics Residency Program

Dr. Jayne Barr
Jayne Barr, MD
Program Director

Welcome from the Program Director

Welcome to the Medicine-Pediatrics Residency Program! My background in Med-Peds ranges from primary care Med-Peds to Med-Peds hospitalist, to now co-director of our Cystic Fibrosis practice and Med-Peds program director. I came to WMed in 2016, and I am excited to be part of our Med-Peds family. Since 2016, we have built a primary care wellness program while engaging in quality improvement and scholarly activities. We have also expanded our global health and point-of-care ultrasound program, established a medical student Med-Peds interest group and engaged students, residents, and faculty in community activities.

We offer a unique, diverse, supportive, and collegial combined training program in a bustling urban and underserved college town with a large rural catchment area. We also feature a robust global health track and point of care ultrasound curriculum that are part of a well-integrated education in internal medicine and pediatrics. 

I enjoy delivering care to patients in both the inpatient and outpatient settings and maintaining a close relationship with the residents I supervise in our Med-Peds continuity clinic. In fact, relationships between residents and faculty are one of the core reasons for my love of this institution and this residency program. We place an unparalleled emphasis on education with weekly didactics during clinically protected time and offer educational stipends, including funds for conference travel and participation. You will have opportunities to teach medical students, do quality improvement projects and scholarly activity, and have the option to participate in away rotations at institutions with which we have established relationships, including those located in Alaska, Madagascar and Peru.

I am proud that our program is the only Med-Peds program in the nation to be accredited in the principles of Osteopathic Manipulative Medicine (Osteopathic Recognition Track). This additional training does not replace or alter your required rotations nor extend your training, but allows osteopathic and allopathic graduates to participate in learning about osteopathic principles through monthly didactics, OMM clinic time and hands-on instruction in the principles of manual medicine.

We also feature a long-standing multi-departmental global health track. This certificate program provides residents with the skills needed to meet the complex demands on healthcare professionals to function competently in resource limited settings.

Med-Peds is an amazing career choice. No other residency allows you as many choices on lifestyle and practice type. No other residency affords you so much breadth of training, and nowhere is that more true than at WMed. Each year, our graduates accept positions in competitive categorical and combined fellowships, rural and urban primary care, global health opportunities, as well as hospital and academic medicine.  

As you consider your options for residency training, I hope you will take a close look at our program. I know you will like what you see!

Program Highlights

  • A combined Med-Peds clinic
  • Combined Med-Peds conferences, including Med-Peds Grand Rounds
  • Well-integrated curriculum with easy transitions between the Internal Medicine and Pediatrics programs
  • Global health/international and tropical medicine curriculum with WMed Global Health certificate 
  • Combined-trained program director, associate program director, and faculty
  • OMM career track
  • Board eligibility in both specialties
  • Dedicated program coordinator and administrative assistant
  • Fellowship matches in competitive fields such as cardiology, pulmonary/critical care, allergy/immunology, infectious disease
Dr. Tom Melgar
Thomas Melgar, MD
Associate Program Director

Message from the Associate Program Director

I fell in love with Med-Peds as a specialty from the moment I heard about it. I wanted the depth of training that pediatricians and internists have without having to give up either patient population. It provides excellent training in the care of children and adults in a wide variety of settings as divergent as outpatient practice, critical care and international and resource limited locations. It is the most versatile residency program available in the United States. Graduates can pursue primary and acute inpatient care in countless different arrangements and any of 33 different pediatric or internal medicine subspecialties, and another 10 combined Med-Peds subspecialties.

I came to WMed in 1994 long before the school existed and was the founding director of the Med-Peds residency program as part of Michigan State University Kalamazoo Center for Medical Studies. It was the outstanding faculty and staff and their dedication to medical education that first drew me to Kalamazoo. Over the years the name and affiliation have changed but the faculty’s commitment to training exemplary residents remains. The medical school’s state-of-the-art Simulation Center and institutional culture fostering creativity in education has allowed me to develop multiple curricula and research opportunities that would directly impact you: The Foundations of Clinical Medicine course for our new interns, including bedside procedures; the point-of-care ultrasound course, the global health track; our international rotations and scholarly activity on a wide variety of projects from tropical medicine to Med-Peds training. Each year, our graduates enter outstanding inpatient and outpatient practices and match into their top choices in fellowship programs around the country. Finally, I am excited that this year we have realized my dream of 25 years - nestling our combined Med-Peds clinic together with our categorical Internal Medicine and Pediatrics clinics all on the same floor. This allows for an improved synergy of ideas and teaching between all three specialties to best utilize all the resources of the WMed medical home to better serve our vulnerable patient population.


  • What hospitals do residents work at?
    Our residents rotate through two teaching health systems, Ascension Borgess and Bronson Healthcare. Ascension Borgess Hospital is a 422-bed tertiary care facility with a Level 2 trauma center, over 60,000 ER visits yearly, and an inpatient psychiatry unit. Bronson Methodist Hospital is a 410-bed tertiary care hospital with a Level 1 trauma center, over 99,000 ER visits yearly, and an inpatient Children’s Hospital with 35,000 children treated annually. Bronson Children’s Hospital includes a general pediatric service, PICU, and a Level 3 NICU and nursery.
  • What is the patient population like?
    Kalamazoo has a diverse patient population that needs primary care and hospital care. We care for a racially diverse population with a significant number of university/hospital employees and their families. We also have a large Spanish-speaking population and have full-time interpreters available 24 hours a day. We are also privileged to serve a large indigent population. There is a wide variety of disease processes and pathology from which to learn.
  • Are there International Electives?
    Yes! WMed has a global health certificate track. The faculty schedule annual trips to Madagascar, Peru and work with residents to achieve this certificate. Residents earn certification by completing a curriculum which includes on-campus global health grand rounds presented by internationally renowned speakers, experiential hands-on learning in WMed faculty-approved sites such as Madagascar and Peru, as well as infectious disease/tropical medicine online modules that can be completed at your own pace and convenience. We also utilize our novel point-of-care ultrasound (a yearlong flipped classroom certification course available to all trainees) in the jungles of Peru to provide real-time bedside diagnostic imaging. 
  • Do residents have opportunities to do scholarly activity?
    Yes! Residents learn about quality improvement and are paired to do QI projects. The program also has a repository of research opportunities that can pair residents with WMED and community faculty research interests.
  • How successful are Med-Peds residents with fellowship matches?
    Our residents are successful in matching in categorical and combined sub-specialties including cardiology, infectious disease, pulmonary, pulmonary/critical care, allergy-immunology.
  • Can residents be part of hospital committees or develop leadership skills?
    Yes, residents and fellows have opportunities to participate as full members of important system-wide committees such as: Safety, Resident/Fellow Quality and Safety Council, Clinical Excellence, GME and many more.
  • Are residents supported by appropriate ancillary staff?
    Yes. There is 24 hours per day EKG technicians, respiratory therapists, phlebotomy, IV, blood gas and patient escort teams.
  • Do the residents have a combined Med-Peds clinic?
    Yes! We have an internal medicine-pediatrics resident continuity clinic that is staffed by our full-time Med-Peds clinic faculty. Our residents have a half day of clinic once a week, which includes a pre-clinic conference. Our clinic is well organized, well run and is the highlight of the week for residents. During a clinic day, we see approximately 50/50 pediatric and medicine patients. For those interested in OMM, we also have clinic on two half days per week that is staffed by our osteopathic faculty.
  • Do you have a night float system?

    Pediatrics: Pediatric call is usually 5-10 nights per four-week block when on a core service. The average is probably closer to five and there are two to four weekend shifts when on electives.

    Medicine: Medicine call is usually five nights per four-week block when on a core service. There are two to four weekend shifts when on electives.

  • Are there employment opportunities for my spouse in Kalamazoo?
    Absolutely. Kalamazoo is a thriving business community with exceptional career opportunities in banking, law, education, pharmaceuticals, retail, hospitality and, of course, health care. The area is home to Stryker and Pfizer.