… the best part of Duke for me so far is the people. Everyone I've worked with from attendings to my co-residents are honest, humble, incredibly smart and accomplished people.
Claudia Leung, MD, PGY-2
Medicine-Pediatric residents are regarded as categorical residents by both departments and are highly respected. Because Medicine-Pediatrics residents bring a special wealth of knowledge to both departments, their expertise is valued. We welcome applicants whose career goals are academic medicine, the practice of general internal medicine or pediatrics, or disciplines that require these backgrounds.
This year is 12 months in duration and is divided into four, three month blocks of internal medicine and pediatrics. Although specific rotations may vary from year to year, a special effort is made to provide residents with an effective balance of intensive care, ambulatory, and inpatient ward experience. The pediatric blocks contain one ambulatory rotation, two nursery rotations (full-term and intensive care), two inpatient ward rotations and one elective. The medicine half of the internship consists of one-month rotations in geriatric medicine, two subspecialty rotations, two general medicine experiences, and an intensive care unit rotation.
Second and Third Years
These two years are categorized as junior residency. They consist of one year of junior residency in medicine and one year of junior residency in pediatrics. Residents rotate between medicine and pediatrics every three months to maintain a continuity of experience and proficiency in both disciplines. The experience in each department is very similar to that offered to the categorical medicine and pediatric residents to achieve board eligibility. The rotations include inpatient wards, intensive care units, electives, ambulatory and emergency medicine experiences.
Medicine-Pediatrics residents complete six months of senior residency in each department, alternating between departments every three months. Medicine experiences consist of inpatient general medicine electives, a supervisory ward month, and an emergency medicine acute care rotation. The pediatric portion of the schedule includes six one-month rotations with electives and inpatient experiences at Duke and Wake Med.
Combined Medicine-Pediatrics Continuity Clinic
Our residents have a combined medicine and pediatric clinic on a regular basis throughout the four-year program. Interns have approximately one half-day per week in clinic depending on the rotation, and upper level residents have up to two half-days weekly in clinic. The clinic is located approximately five miles from the main hospital in Duke Health Center at Roxboro Street - an integrated office building with Pediatric and Medicine faculty practices. The clinic has on-site social work, pediatric clinical nurse manager, a lactation consultant, a behavior and mental health team, the Healthy Lifestyles Program, and child protective team services. Laboratory and Spanish interpretation services are also on site.
Combined Medicine-Pediatrics trained faculty staff the house officer continuity clinic. Interns and residents are encouraged to follow the patients they discharge from the hospital and care for in the Emergency Department, and these patients help form each resident’s clinic population over a four-year period.
Pre-clinic conferences on ambulatory topics in both medicine and pediatrics are held weekly. Conferences are a collaborative experience with residents and faculty.
The residents establish a continuity experience with their patients and have annual adult exams, pediatric well child checks, return appointments and acute visits scheduled weekly. We serve a diverse patient population with a wide range of medical conditions and socioeconomic status. Residents have a balanced outpatient experience and see approximately 50% pediatric and 50% adult patients in each session.
The faculty here really value the education of the residents. Many set aside time for teaching points and really get into the pathophysiology that we so forget many times.
Justin Yoo, MD, PGY-3
As our program has grown and evolved over the last 25 years, our residents and faculty have developed many unique experiences and rotations for our residents. Some of these innovations include our International Health rotations in Tanzania, Nicaragua, Sri Lanka, Kenya, China, Rwanda, Brazil, Thailand, Indian Health Services, and Australia. We also offer a Clinical Epidemiology and Research elective, a combined Med-Peds Ambulatory elective, and an integrated Evidence-Based Medicine curriculum. In addition to the unique clinical experiences, our residents have an opportunity to participate in both the internal medicine and pediatrics residency programs’ Residency Councils and teaching workshops.
Medicine-Pediatrics Ambulatory Elective
Our residents participate in a one month rotation during both of their junior residency years. The Medicine-Pediatrics resident adult ambulatory elective provides the opportunity for our residents to rotate with general and specialty faculty preceptors in the outpatient setting. Experiences include a community (private practice) medicine-pediatrics clinic, sports medicine, transition clinic, adult congenital heart clinic, dermatology, podiatry, and opportunities in developing quality improvement projects.
Medicine-Pediatrics residents attend categorical conferences during either internal medicine or pediatrics rotations. Conferences include morning report, noon conference, chairman’s conferences, and grand rounds.
In addition to the categorical residency program conference, Medicine, Pediatrics and Medicine-Pediatrics residents have the opportunity to attend combined Medicine-Pediatrics conferences, about six to eight times per year.
Medicine-Pediatric residents often participate in a wide variety of additional scholarly activities during their training. Many have the opportunity to present their research at meetings and represent Duke at conferences. View examples of some of the recent scholarly accomplishments of our Medicine-Pediatrics residents.
The residents and faculty are the biggest strengths of the program. Everyone is so down-to-earth, fun, and supportive of each other. At the same time, people are very intellectually curious, and are passionate about giving the best care possible to patients at Duke.
Rebecca Ruf, MD, PGY-4
Latest Med-Peds News
Take a look at the latest Med-Peds Newsletters for information on incoming trainees, program graduates and highlights and accomplishments.