Training at Duke

Curriculum

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.

Internship

This year is divided into four, three-month blocks: two blocks of internal medicine and two of 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.

Fourth Year

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.

View a sample of the Duke Medicine-Pediatrics Residency Program four-year curriculum.

Combined Medicine-Pediatrics Continuity Clinic

Our residents have a combined medicine and pediatric clinic on a weekly basis throughout the four-year program, spending on average one half-day per week in clinic during internship and two half-days weekly in clinic as upper-level residents. 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.

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Innovations

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 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, podiatry, and opportunities in developing quality improvement projects.

Conferences

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.

Combined Conferences

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.

Scholarly Activities

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. 

Latest Med-Peds News

Take a look at the latest Med-Peds Newsletters for information on incoming trainees, program graduates and highlights and accomplishments.