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Julie Rosenbaum, MD

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About

Biography

Julie R. Rosenbaum went to medical school at Yale University and completed internal medicine residency at New York Hospital-Cornell Medical Center. She also completed the Robert Wood Johnson Clinical Scholars Program at Yale University School of Medicine, where she currently is an associate professor in the Department of Medicine. In addition to seeing her own patients, she teaches residents in the Yale Primary Care Internal Medicine Residency. She directs the annual Workshop on Professional Responsibility for the medicine interns as well as the Program on Women in Medicine for the residency. She continues to teach ethics and professionalism topics, as well as health policy and advocacy. Dr Rosenbaum also co-directs the Yale Primary Care Residency Community Engagement Curriculum. She currently serves on the American College of Physicians Ethics, Professionalism, and Human Rights Committee and has also been appointed to the ACP Committee for the MKSAP 18 General Internal Medicine Revision.

Dr. Rosenbaum has worked with the American Board of Internal Medicine Foundation on a project evaluating the impact of the hidden curriculum on medical education, focusing on transitions between different care environments. She is also the Editor-in-Chief of the Yale Office-based Medicine Curriculum, an ambulatory curriculum used in about 200 residencies across the U.S. She has also developed a career planning website for internal medicine residents called Beyond Residency.

Appointments

Other Departments & Organizations

Education & Training

Fellow
Yale University School of Medicine/Robert Wood Johnson Clinical Scholars Program (2002)
Resident
New York Hospital Cornell Medical Center (1999)
MD
Yale University School of Medicine (1996)
BA
Brown University (1990)

Research

Overview

My scholarly work has two central areas of focus: one is the exploration of ethical and professional behavior in medicine, how to evaluate it, and encourage its flourishing. My goal has been to encourage residents to be aware of the personal, professional and systemic barriers to appropriate behavior, and through reflection and reaffirmation of important values and concerns, enhance their ability to meet their personal high ideals for professional behavior. The second focus of my work has been excellence in ambulatory medicine and dissemination of current, evidence-based updates for residency education and faculty development.

My background in medical ethics has served me well in this setting and has allowed me to participate in fascinating and important conversations about how to support ethical and professional development not only at the student but resident level. Early in my career, I developed an interest in how to support ethical and professional behavior through attention to context and the clinical environment. As a Robert Wood Johnson Clinical Scholar, I further elucidated the nature of and factors that created ethical discomfort among medical residents in my primary fellowship project. This work has been a foundation of my ethics and professionalism teaching at Yale, and a contribution to the literature that had previously focused more on medical student ethical development and less on residency, arguably a distinct and separate stage of training. This more recent publication lead to my participation in the American Board of Internal Medicine Foundation’s Project on the Hidden Curriculum. We are current analyzing qualitative data from 12 focus groups at 3 medical institutions to explore the effect of transitions on the professional development of medical trainees, as well as patient care.

My interest in articulating, establishing, and affecting the role of physicians and the pharmaceutical industry has led to my participation in two projects (including a systematic review of residency education) that have evaluated efforts to teach residents about these important issues of professional behavior. Another area of focus has been effective end-of-life communication, including development and evaluation of a new ward-based exercise for medical students, as well as seminars for the medicine residents.

As part of my interest in supporting resident development, I perceived a gap in information available to medicine residents each year as they began to look for jobs or fellowships. As a result, through a collaborative process, I guided the creation of Beyond Residency, an online career planning tool for Yale trainees and students which provides general information and access to additional resources on CV creation, how to search for a job, interviewing, the fellowship match process, and contract negotiation. We are also performing a controlled trial through the Yale Affiliated Hospitals to assess the effect of this resource on improving the success and decreasing stress on trainees during the application process for the step after residency.

As co-editor of the Yale Office-based Medicine Curriculum, I have the opportunity to shape an ambulatory medicine text which has broad dissemination nationally, including over 230 medicine, family medicine residencies, nursing, and physician assistant programs. With my co-editors Seonaid Hay and Laura Whitman, we take suggestions from our residents and faculty on topics and important clinical questions that help shape our case-based chapters. Our overall curricular structure covers core subjects in ambulatory medicine, while allowing tailoring to current important developments, including new therapies or policy issues. At many institutions our curriculum is used for a faculty-guided small group discussion, which allows us terrific opportunities for faculty development and influence, as well promoting Yale’s standard of excellence in up-to-date and high quality ambulatory medicine nationally.

In summary, my current position allows for a breadth of opportunity to teach and improve moral sensitivity, critical thinking, and, hopefully, professional behavior. In the future, I would hope to continue to delineate factors that support ethical and professional behavior and determine which most effectively protect trainees from some of the deleterious effects of the so-called hidden curriculum of medical training, with attention to such areas as pharmaceutical relations and end-of-life care. I hope to also continue to move the Yale Office-based Medicine to a new threshold as a high quality, comprehensive tool for ambulatory education while also seeking to enhance the evaluation of the Curriculum as a strategy for demonstrating an effective way to improve resident knowledge, skills, and behavior regarding ambulatory medicine.

American Board of Internal Medicine Foundation: Assessment of Impact of Transitions on Resident Professional Development and Patient Care


Beyond Residency: Assessment of Online Tool for Resident Career Planning

Assessment of Career Planning Needs for Internal Medicine Residents

Medical Subject Headings (MeSH)

Education, Medical; Ethics, Medical; Health Policy; Humanities; Internal Medicine; Patient Advocacy; Physicians, Primary Care

Research at a Glance

Yale Co-Authors

Frequent collaborators of Julie Rosenbaum's published research.

Publications

2011

2010

2008

2004

2000

Others

  • Yale Primary Care Curriculum
    Editor-in-Chief, Yale Primary Care Curriculum. Produced semiannually, 26 chapter evidence-based, case-based primary care text, including resident and preceptor guide. Rotating 3 year curriculum of topics including relevant updates. Used by approximately 200 internal medicine residencies in US and abroad.
    Peer-Reviewed Original Research

Academic Achievements & Community Involvement

  • activity

    Society for General Internal Medicine

  • activity

    American Society for Bioethics and Humanities

  • activity

    Society of General Internal Medicine

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    Waterbury Hospital

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    Yale Primary Care Residency

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