Other Programs

In addition to the categorical program, Duke has preliminary and combined medicine-pediatrics and medicine-psychiatry training programs.

Learn more about each of these programs below and find out about all of the pathway opportunities

Preliminary Program

The preliminary year provides residents with a strong foundation in internal medicine before specialization. Preliminary interns are integrated into the program and enjoy the same responsibilities and opportunities as their categorical peers.

The preliminary year also differs from the Categorical Program Internship year by the addition of a rotation in the Emergency Department. There is no continuity clinic for preliminary interns.

The 12 rotations of the preliminary year are four weeks in duration and include: 

  • General medicine wards – three rotations
  • Ambulatory medicine – 4+2 block schedule, including specialty and urgent care clinics 
  • Subspecialty inpatient wards – four rotations, from Cardiology, Neurology, Nephrology, Oncology or Pulmonology
  • Intensive care unit – one rotation
  • Emergency Department – one rotation

The vacation schedule is like that for all other residents, with three weeks throughout the year and an added break either at Christmas or New Year's.


The Duke Medicine-Pediatrics Residency Program is a four-year program offering diverse training in both adult and pediatric medicine with substantial experiences in primary care and subspecialty medicine.

Our diverse group of trainees come from all across the country and are hard working, enthusiastic, dedicated and outgoing. They excel in clinical care, education and leadership and are widely recognized at the institution for these efforts.

The Med-Peds Program is well integrated in both departments with both of the categorical residency programs in Medicine and Pediatrics. Program leaders collaborate closely with our colleagues to ensure outstanding educational experiences for our trainees.

Jane Trinh, MD, Program Director

Learn more about Medicine-Pediatrics training


The Medicine and Psychiatry Residency Program is a combined five-year program offered by the departments of Medicine and Psychiatry and Behavioral Sciences. The program  is approved by both the American Board of Internal Medicine and the American Board of Psychiatry and Neurology.

Residency training is spread over five years with equal time devoted to Medicine and to Psychiatry.  The program leadership and residents are well integrated into both departments.  Trainees benefit from the excellence and breadth of the two outstanding categorical training programs. After completion of the residency program, graduates are eligible for board certification in both disciplines.

— Jane Gagliardi, MD, MHS, Program Director

Learn more about Medicine-Psychiatry training