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. The combined program consists of 48 months that are equally divided between the departments of medicine and pediatrics.
Residents rotate between departments on an every four month basis.
This length of time allows them to fully immerse themselves within each department and yet 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. These include direct care of inpatients during general, specialty, and intensive care rotations and outpatients during block rotations and continuity clinics. The resident alternates between medicine and pediatrics continuity clinics on a single half day per week during the first 16 months. During the subsequent 32 months, the resident has both weekly medicine and pediatric clinics.