The resident will have an integrated experience in both internal medicine and pediatrics throughout the four-year program. In each year, the residency experience will be divided into three-month blocks, alternating between rotations on medicine and rotations on pediatrics. Over the course of the program, the resident will rotate through all the services on medicine and pediatrics including general medical and pediatric wards, intensive care units, emergency room, well-baby and special care nurseries, adolescent medicine, sub-specialty electives, medical consult service, and ambulatory care.

Ambulatory Care

The ambulatory care experience begins in the first year. All residents will attend a combined Medicine-Pediatrics clinic one afternoon a week and will have a continuity practice throughout their four-year program. All residents will assume responsibility for a panel of patients consisting of families with both adults and children. A family-oriented primary care approach is stressed with an emphasis on preventive medicine, patient education, and the psychosocial aspects of healthcare. All patients are managed under the supervision of a Medicine-Pediatrics trained attending. A series of primary care conferences specifically geared to the Medicine-Pediatrics resident is held at the beginning of each clinic session.

A comprehensive educational program is provided in the Medicine-Pediatrics clinic. All residents attend an ambulatory care seminar at the start of their continuity clinic. These seminars consist of a two-year core curriculum in medical problems commonly seen in the primary care physician's office. During a typical afternoon session, residents see one new patient and four follow-ups. All patients are managed under the supervision of a Medicine-Pediatrics attending. In addition, an attending from the Department of Psychiatry is available for supervision of psychosocial problems commonly seen in a primary care practice.