The med-peds curriculum is designed to provide adequate and equal exposure to both internal medicine and pediatrics, and yet incorporate the elements that define combined training. To accomplish this, residents rotate between departments in a series of three and four month blocks throughout the four years. This allows completion of core and subspecialty rotations in a manner that promotes a graded increase in responsibility and maintains seasonality, which is important for exposure to different pediatric illnesses. The 12-month internship provides exposure to core rotations allowing residents to focus on the development of a fundamental skill set on which to build subspecialty knowledge as their training progresses. As residents progress through the PGY 2, 3 and 4 years, schedules become progressively more flexible allowing residents to pursue subspecialty interests.
Selectives are rotations that are direct subspecialties of internal medicine and pediatrics. As med-peds condenses six years of training into four, residents are not able to rotate through all of the subspecialty areas. Certain specialties are amenable to a combined experience and this is encouraged. Electives are purely the residents' choice. They may choose experiences from other departments or they may opt to do more selectives. Elective rotations may be either two or four weeks in length. IM selectives: ID consults, GIM consults, geriatrics/palliative medicine, hematology/oncology, endocrinology, gastroenterology, nephrology, pulmonary, rheumatology and cardiology consults Pediatrics selectives: adolescent, behavioral/developmental, allergy/immunology, pulmonary, cardiology, endocrinology, gastroenterology, hematology/oncology, infectious disease, neurology, nephrology Electives: anesthesiology, community practice, dermatology, ED, Ob/Gyn, family planning clinic, sedations (peds), vent management, ophthalmology, orthopedics, ENT, psychiatry, radiology, research, surgery, hospitalist medicine, adult neurology clinic, international/missionary medicine, rehab medicine, Ppthology, pain management, palliative care
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