The combined medicine-pediatrics program, in existence since 1988, was developed to provide training and education for physicians interested in caring for both adults and children. Successful completion of this four-year program leads to board eligibility in both specialties. Residents who complete this program are highly qualified to pursue subspecialty training, academic medicine or primary care careers. For more information about the program visit the Med-Peds website.
The combined program consists of 48 months that are equally divided between the departments of Internal Medicine and Pediatrics. Residents rotate between departments every four months. This length of time allows them to fully immerse themselves within each department and provides for exposure to seasonal variations in disease frequency during their residency. Graded advancement in training and care responsibilities occurs when a resident has completed eight months within a specialty.
Residents spend the first 16 months with intern responsibilities, including direct care of inpatients during general, specialty and intensive care rotations, as well as care of outpatients during elective and continuity clinics. Interns learn from senior residents (categorical and medicine-pediatrics), academic faculty and community clinicians. Thereafter, the resident spends an additional 16 months each at levels that correspond to the second- and third-year levels in the categorical programs. Residents are considered integral members of both departments and are expected to participate in all service and educational components of the residency program.
The resident alternates between medicine and pediatrics continuity clinics on a single half-day per week during the first 16 months. On subspecialty medicine and pediatric rotations, the residents rotate for a full day in either medicine or pediatric continuity clinic. This allows the resident to have fewer disruptions in the learning opportunities of the subspecialty rotation. The residents on outpatient rotations also may spend a day per week at the private practice site of one of three community med-peds practitioners. Primary care practitioners within both departments conduct in-depth training in outpatient management.
Special experiences, including combined experiences, are available and cover: substance abuse, dermatology, rheumatology, allergy, sports medicine, adolescent medicine, family HIV/AIDS care and research.
Besides the individual didactic and patient-oriented education sessions, combined residents are active participants in a monthly medicine-pediatrics conference and the monthly, hospital-sponsored Graduate Medical Education Conference‚ which covers topics that include practice management, systems-based practice and other topics that are important to all residents regardless of program.