The Combined Internal Medicine and Pediatric Residency began at our institution in 1986. Many of our residents have gone onto to join primary care med/peds practices, pursue fellowships or academic careers, or become hospitalists. (See Alumni page.) We are fully accredited with the ACGME as are the categorical programs in Internal Medicine and Pediatrics. We have many strengths including a number of faculty with med/peds training, a very successful combined med/peds clinic, a diverse patient population to care for and learn from, strong support for the program from both departments, and a great group of residents who are committed to their patients, their learning, and the program.
The med/peds curriculum provides a cohesive planned educational experience by not simply training residents in both internal medicine and pediatrics, but by training them to become practitioners capable of treating both adults and children in a combined practice, moving effortlessly between the two disciplines, and drawing on the strengths of each discipline in the care of all patients regardless of age. The med/peds curriculum is a four-year program with residents switching between disciplines every 4 months. A 16-month internship provides an introduction to the care of patients in every area in both disciplines. Residents develop their basic clinical skills in the examination and management of patients, the foundation of their medical knowledge, and they refine their communication and professional competency. Senior residents’ curriculum has three components; reinforcement and further training in the core patient care areas, introduction and exposure to subspecialty disciplines, and an opportunity for each resident to shape their curriculum to meet their individual career goals through elective rotations.
A final focus of the curriculum is on the integration of the training that the residents are receiving in both medicine and pediatrics. Residents are taught this integration through their continuity clinic training, through required rotations in community-based combined med/peds practices, and through combined med/peds conferences.