The Combined Internal Medicine-Pediatric Residency is a four year program designed to prepare the resident for certification by both the American Board of Pediatrics and the American Board of Internal Medicine. There are 6 resident positions for each of the four years. The resident rotates between pediatrics and medicine every three months. One month each year is allocated for vacation.

Pediatrics Rotations
Year 1 Inpatient 8 wk Outpatient 8 wk Newborn ICU 4 wk Normal Nursery 4 wk Year 2 Inpatient 1 mo Outpatient 1 wk Elective 1 mo Child Development 1 mo Newborn ICU 1 mo Vacation 1 mo		Year 3 Inpatient 1 mo Outpatient 1 mo Elective 2 mo Newborn ICU 1 mo PICU 1 mo Year 4 Inpatient 1 mo Outpatient 1 mo Elective 2 mo Adolescent Med 1 mo Vacation 1 mo

On call responsibility during Pediatric inpatient months is every fourth night. The schedule provides for 4 days per 28 days free from patient care duties.

Internal Medicine Rotations
Year 1 Inpatient 8 wk Outpatient 4 wk Medical ICU 4 wk Cardiology Service 4 wk Elective subspecialty 4 wk Vacation 4 wk Year 2 Inpatient 2 mo Emergency Medicine 1 mo Nephrology (elective) 1 mo Medical ICU 1 mo Cardiology Service 1 mo		Year 3 Inpatient 1 mo Ambulatory Care 1 mo Pulmonary Consultation Service 1 mo General Medicine Consultation Service 1 mo Geriatric Medicine 1 mo Vacation 1 mo Year 4 Inpatient 2 mo Emergency Medicine/MICU 1 mo Cardiology Consult Service 1 mo Rheumatology (elective) 1 mo Gastroenterology 1 mo

Interns and residents are on call every fourth night and interns are limited to a maximum of five admissions in a twenty-four hour period. House officers not on call work from 7 am to 4 pm on weekdays and until 1 pm on weekends or when post call. All house officers receive, on average, one weekend day off per week.

Combined Internal Medicine – Pediatric Clinics

The resident is assigned to continuity clinic one-half day per week. There are separate Internal Medicine and Pediatric Continuity Clinics so that the resident will alternate between the two continuity clinics on an every other week basis.

Pediatric Specialty Clinics

The pediatric specialty clinics listed below reflect the expertise and diversity of the full-time faculty. Each resident will have ample opportunity during the four years to rotate to these clinics

General Medicine Specialty Clinics

The medicine-pediatric residents participate in subspecialty clinics one or two additional half-days per week when rotating through those services.

The medicine-pediatric residents also have the opportunity to participate in a one-month block Ambulatory experience to broaden their primary care skills. The Ambulatory Geriatric Medicine experience includes a curriculum in: cognitive training, audiometry, incontinence, sexual dysfunction, Parkinson's Disease, menopause, osteoporosis, PET scanning, rheumatology, occupational therapy, pharmacology, nursing home care and home care visits. Senior residents may elect to participate in a Procedure Block Rotation designed to improve their office-based procedural and test interpretation skills including flexible sigmoidoscopy, pulmonary function testing and exercise stress testing