The departments of Internal Medicine and Psychiatry offer a five-year combined internal medicine and psychiatry training program, which is approved by both the American Board of Internal Medicine and the American Board of Psychiatry and Neurology.
The program has been in existence since 1992; its goal is to provide comprehensive training in the care of medically and psychiatrically ill patients. The integration of these two nationally recognized residency training programs has evolved over the years into a unique and multifaceted graduate medical education experience. 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. Residents enjoy interaction with faculty and staff in each department.
Internal medicine and psychiatry rotations take place at Duke University Medical Center and the Durham Veterans Administration Hospital with opportunities to rotate on internal medicine services at Durham Regional Hospital. In 2000, the establishment of an inpatient medicine/psychiatry service was completed, allowing residents in general medicine, general psychiatry, or the combined training program an opportunity to develop treatment skills in patients with multiple diagnoses. Cohesion between the disciplines is accomplished through didactics, case conferences, and journal article discussions which take place weekly. Topics for medicine/psychiatry seminars are designed to 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.
In addition to clinical training, residents are offered the opportunity to pursue research in areas relevant to the interface of medicine and psychiatry. Areas of interest pursued in the past have included 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.
Please visit the Internal Medicine Residency page and the General Psychiatry Training Program's page to get a better idea of the similarities and differences between these programs and the MedPsych program.