The affiliated institutions are located close enough to facilitate cohesion among the house staff in the training program. Inpatient rotations alternate between Internal Medicine and Pediatrics every four months throughout the four years. During assignment to either Medicine or Pediatrics, the resident is regarded as other trainees in that particular program. Call responsibilities are the same as categorical trainees. Faculty exchanges over curriculum, evaluation, administration, and related matters in the combined program occur to assure a coordinated experience.
Care is exercised to avoid unneeded duplication.
The combined residency is coordinated by co-directors who are the program directors for the two departments. An advisory committee exists to review the curriculum, resident schedules, evaluation process and recruitment needs. The trainees in the combined program are under a joint contractual appointment during the entire four years and are evaluated by the existing process in each department. An evaluation is performed at least every four months as the resident is changing services between specialties. An annual evaluation is performed by the co-directors.