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 solid foundation in internal medicine before specialization. We recognize that the preliminary interns have diverse interests, so we have added elective rotations to allow the interns to tailor their coursework to suit their needs and career goals.

These elective rotations may be taken in the Department of Medicine and in other departments at Duke. Interns may also consider research rotations for these electives.

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 – one rotation 
  • Subspecialty inpatient wards – four rotations, from Cardiology, Neurology, Nephrology, Oncology or Pulmonology
  • Intensive care unit – one rotation
  • Emergency Department – one rotation
  • Electives – 2.25 rotations

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.

— Suzanne K. Woods, 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. The program  is approved by both the American Board of Internal Medicine and the American Board of Psychiatry and Neurology.

After completion of the residency program, graduates will be eligible for board certification in both disciplines. The curriculum for the residency is spread over five years with equal time devoted to medicine and psychiatry through didactics, case conferences, and weekly journal article discussions. Residents enjoy interaction with faculty and staff in each department.

Topics for medicine/psychiatry seminars  emphasize issues at the interface of both fields. Separate, weekly continuity clinics in both medicine and psychiatry run throughout each year of the residency program. Internal medicine and psychiatry rotations take place at Duke University Medical Center and the Durham Veterans Administration Medical Center with opportunities to rotate on internal medicine services at Duke Regional Hospital.  

In addition to clinical training, residents pursue research in areas at the interface of medicine and psychiatry, such as depression and heart disease, addiction and co-morbid medical illness, pharmacologic management of dementia, and psychiatric aspects of multiple sclerosis. Both departments encourage residents to identify areas of interest early on in their training in order to maximize their time for research during residency.

Residents interested in learning about Medicine-Psychiatry and seeing what our program has to offer, may opt for a four-week elective Sub-Internship in Internal Medicine-Psychiatry. This elective is open to visiting students.

— Sarah Rivelli, MD, Program Director

Learn more about Medicine-Psychiatry training