Med-Peds Residency Program

We offer a competitive salary and benefit package which includes relocation assistance, malpractice coverage and an annual $1,750 travel/education fund available to each resident beginning in PGY1.

Salaries for 2026-2027 (effective July 1, 2026)

When taken in aggregate, the compensation package provided residents, depending on post-graduate year, ranges from $70,000 to $100,000 per resident.

PGY1: $71,033
PGY2: $73,370
PGY3: $75,708
PGY4: $78,045
PGY5: $80,383
PGY6: $82,722
PGY7: $85,060

Please visit this document for more information about our benefits.

• Sick leave: Residents (or house staff officers) are allotted sick days. Residents will not be compensated for any unused sick time. It is the responsibility of the Resident to notify the appropriate individual(s) of an absence due to illness in accordance with his/her program specific policy. Residents are eligible for a short and long-disability plan the first of the month following 90 consecutive calendar days of employment within a benefited status. 
• Vacation: 15 workdays per contract year
• Continuing Medical Education (CME)/Meeting Time: Residents are allotted up to seven (7) working days per academic year for scientific meetings (includes travel time), which varies in program and training years. 
• Interview Days: Residents are allotted, with approval and planning, up to ten (10) interview days total during the course of their residency, for Fellowship, and/or job related interviews (prorated for programs less than three (3) years).
• Exam Day(s): Exam time away from residency training for USMLE, COMLEX, (first time), Licensure exam, In-training exam, representing the Program or Clinic for a business, or required educational purpose as approved by the Program Director, are accounted for as days in training.
• Birth/adoption leave: Residents may take up to six weeks of leave in a 12 month period for the birth of the Resident's natural child or the placement of a child with the Resident for adoption. Cumulative absence from the residency program beyond five weeks in an academic year may require an extension of the residency to meet board eligibility criteria. 
• Family and Medical Leave Act (FMLA): The FMLA is an unpaid, job protected leave.  Residents who meet the eligibility criteria will be eligible for unpaid leave under the FMLA.  Absences from the residency program may request an extension of the residency to meet board eligibility criteria.

• Residents are fully covered under Marshfield Clinic's self-insurance plan for professional liability. This is an occurrence policy. Contribution to the State of Wisconsin Patients Compensation Fund is also made on behalf of each licensed resident, which provides additional protection.
• Each Resident is covered under Worker's Compensation.
• Short and Long term disability insurance is purchased for each Resident. This policy is effective the 1st of the month following 90 days from your hire date in a benefited status.
• Group term accidental death and dismemberment insurance is an option at the Resident's own expense.
• Group term life insurance: A $50,000 term life insurance is purchased for each Resident.

• An annual $1,750 travel/educational fund is available to each resident for attending meetings, purchasing textbooks or a combination of these activities. The resident is allotted seven working days per eligible academic year for scientific meeting time.
• Relocation assistance up to $2,500 per resident family household.
• Wireless tablets assigned to each resident.
• A meal allowance is provided to residents while on call in the medical complex.
• Residents have designated "on call" rooms in the hospital.
• If not previously taken, the United States Medical Licensure Examination (USMLE) Step 3 exam fee or the Comprehensive Osteopathic Medical Licensing Examination (COMLEX) Level 3 exam fee will be paid one time per resident if taken during the PGY1 year of residency.
• Lab coats and laundering are provided.
• A standard 35 percent discount (excluding contact lenses) at Marshfield Clinic Optical Shop.
• Special funds are available for resident paper presentations in representing their respective program.
• Residents have medical transcription support and program coordinator assistance.
• Marshfield Clinic Health System offers a drug and tobacco-free environment.
• Resident Association special activities planned.
• Resident all-day workshops.
• Resident Well-Being Committee support.
• Resident/learner lounge is accessible 24/7.

Affordable housing is available in Marshfield. The average rental cost for a two bedroom apartment is $425-$700 per month. A variety of housing is available, ranging from apartment complexes to single houses and duplexes.

The supervising physician(s) complete evaluations of the resident’s performance at the conclusion of each experience. The attending and the resident must review the content of these evaluations at mid and end of month rotation feedback. The resident may, on occasion, need to initiate the review.

In consultation with the categorical clinical competency committees, resident performance is evaluated at least two times per year by the Med-Peds core faculty.

Resident Performance is evaluated using the six competencies as defined in the ACGME Outcome Project

• Patient care
• Medical knowledge
• Practice-based learning and improvement
• Interpersonal and communication skills
• Professionalism
• Systems-based practice

Tools used to assess competence may include one or more of the following methods: mini clinical exercises, staff/patient/resident peers surveys, in-patient/out-patient case presentations, quality improvement exercises, clinical performance ratings, OSCE, review of procedure logs, unsolicited written or verbal feedback, In-training examination, computer based training, chart reviews, and practice/billing audits.

A formal review of the resident’s performance will be discussed with each resident individually at least two times a year (three times a year for PGY1 residents) by the Med-Peds Program Director. The resident’s file is reviewed with the resident by the Program Director during this scheduled meeting.  A narrative assessment will be placed in the resident’s file following each such meeting. Both specialty boards receive a yearly summative evaluation.

A final written evaluation is prepared by the Program Director, which summarizes the resident’s performance, verifying the resident has demonstrated competence as defined by the Accreditation Council for Graduate Medical Education (ACGME). The final evaluation remains part of the resident’s permanent record that is maintained by the program and used as a reference for information requests by third parties, such as employers, hospitals, and state license boards.

View a sample rotation schedule

Residents attend scheduled lectures and conferences in Internal Medicine and Pediatrics according to assigned rotations.

Residents present at Grand Rounds, Journal Club and Morning Report conferences as part of their scholarly activity. Residents are also strongly encouraged to participate in other scholarly activity such as publications, presentations at local, state, or national meetings, and quality improvement projects during their training. Faculty support, funding (as available) and the resources of the Marshfield Clinic Research Institute are available for assistance in all aspects of these projects.

Resident call varies with each of the service rotations but remains well within compliance of ACGME essentials for accredited residency programs. Most evenings and nights are covered by night float/night shift teams. Our programs comply with ACGME’s duty hours regulations, and program leadership is in consistent communication with residents regarding any difficulties that may arise.

Our accredited Med-Peds residency program, established in 1996, offers two positions in each year of post-graduate training for a total of eight residents. This four-year combined program is designed to prepare physicians for either primary care or subspecialization.

As a Med-Peds resident, you will benefit from the friendly, informal atmosphere of central Wisconsin while training in a highly integrated medical system with a nationwide reputation for clinical excellence and research.

National Med-Peds Residents' Association brochure provides general information about Med-Peds.

In order to encourage and facilitate professional growth, Marshfield Clinic Med-Peds Residency Program provides financial sponsorship for membership in the following national organizations:

• American Academy of Pediatrics (AAP) - fee paid annually
• American College of Physicians (ACP) - fees paid for PGY1 residents
• National Med-Peds Residents Association (NMPRA)

These organizations are dedicated to providing information, opportunities, and programs to current and future Med-Peds Residents.

The comprehensive pediatric services at Marshfield Medical Center in Marshfield are recognized as a “Children’s Hospital” by the National Association of Children’s Hospitals and Related Institutions (NACHRI), joining only three other hospitals in the state with this honor. Marshfield Children's Hospital, a ‘hospital within a hospital’, offers high-quality, 24-hour-a-day subspecialty care for children from premature infants to 18-year-olds, thereby providing an outstanding training opportunity for Med-Peds and Pediatric resident physicians.

In addition to this prestigious recognition, the facilities and staff of Marshfield Clinic and Marshfield Medical Center form a comprehensive state-of-the art medical complex that offers the following:

• 292-bed tertiary hospital with an ACS Verified Level II Trauma Center.
• 24-bed pediatric unit including a 6-bed oncology unit with an award-winning design.
• 8-bed, Level 1 Pediatric Intensive Care Unit (PICU) that includes trauma verification by the American College of Surgeons. Marshfield Clinic pediatric intensivist (critical care physician) management.
• Air and ground transport of neonates, children, and adults via Life Link III consortium.
• 24-bed, level 3 Neonatal Intensive Care Unit (NICU) that includes Marshfield Clinic neonatologist  management and subspecialty nursing care.
• 16-bed Medical Intensive Care Unit (MICU)/Critical Care Unit (CCU).
• 18-bed Surgical Intensive Care Unit (SICU).
• 15-bed negative pressure dedicated COVID-19 unit.
• Affiliations and partnerships include Ronald McDonald House, Children’s Miracle Network, Children’s Hospital of Wisconsin (pediatric heart program), Milwaukee Children’s Hospital (Pediatric Emergency Medicine, 2 months).
• The National Farm Medicine Center, (includes National Children’s Center for Rural and Agricultural Health and Safety – NCCRAHS) specializing in evolving issues in agricultural health and safety, including infectious disease research and rural and agricultural health and safety, and professional training in agromedicine and agriculture-related research.
• The Marshfield Clinic Research Institute is the second largest private medical research organization in the state.
• Occasional scheduled and elective experiences at Marshfield Clinic regional centers.
• Marshfield Medical Center is a Joint Commission Certified Primary Stroke Center (2009). The Center also participates with "Get with the Guidelines for Stroke" and has earned the highest quality and achievement awards available (Gold Plus) and also the highest Target Stroke Honor Roll award for our door-to-needle times (Elite Plus).

The Med-Peds program utilizes teachers from our categorical Internal Medicine and Pediatric faculty plus a full complement of subspecialists from other departments. There are faculty of 5 Med-Peds physician faculty for longitudinal Ambulatory Med-Peds experience.

Our pediatric staff includes over 25 board certified pediatricians, pediatric subspecialists, and pediatric nurse practitioners, all of whom are active residency program faculty. Their expertise covers the following areas of pediatric medicine: adolescent medicine, allergy, behavioral pediatrics, cardiology, critical care, developmental pediatrics, rheumatology, endocrinology, gastroenterology, general pediatrics, genetics, hematology/oncology, infectious disease, neonatology and nephrology.

Other pediatric subspecialties include dermatology, ophthalmology, orthopedics, otolaryngology (ENT), psychiatry/psychology, radiology and surgery. Child life specialists, occupational therapists, speech pathologists and many other specialists actively participate in the teaching program.

Marshfield Clinic Health System has an active teaching staff of general internists and subspecialists in excess of 120 physicians who have come to Marshfield from across the United States and the world. Over 50 physicians hold voluntary clinical faculty appointments at the University of Wisconsin Medical School.

Other consultants to the program include bacteriologists, pathologists, clinical pathologists and radiologists.

Sometimes we are asked, "Are there really enough patients seen in Marshfield to assure me I will get adequate exposure to the depth and breadth of Pediatric and Internal Medicine?" With a combined total of 2,568,566 patient encounters in all departments at the Marshfield Medical Center from October 1, 2019 through September 30, 2020, you are assured excellent ambulatory teaching experiences during the span of your residency program.

Additional 2020 patient statistics indicative of the valuable Residency opportunity awaiting you at Marshfield Medical Center Clinic:

• Marshfield Clinic’s Internal Medicine Department: 150,564 outpatient encounters
• Marshfield Clinic's Med-Peds Department: 17,684 outpatient encounters
• Marshfield Clinic’s Primary Care Pediatrics Department: 49,964 outpatient encounters
• Emergency room visits: 22,000 patients
• Urgent Care: more than 4,000 pediatric patients and more than 25,000 adult patients

• Continuity Clinic is located in the Marshfield Center Med-Peds Department and staffed entirely by board-certified Med-Peds physicians.
• The Department is organized as a group practice – faculty and residents provide cross coverage for one another.