The objectives of a combined residency in internal medicine-pediatrics include the training of general physicians for practice or academic careers addressing the spectrum of illnesses in the newborn, children, adolescents, and adults. Graduates of a combined residency may function as generalists in practice and academic environments or enter subspecialty training. This clinical training can also prepare graduates to undertake research in areas shared by internal medicine and pediatrics, including adolescent medicine, medical genetics, clinical epidemiology, medical decision making, and health care delivery. The strengths of the residencies in internal medicine and pediatrics should complement each other to provide the optimal educational experience.

Combined programs include components of independent internal medicine and pediatrics residencies that are accredited respectively by the Residency Review Committee for Internal Medicine and by the Residency Review Committee for Pediatrics, both of which function under the auspices of the Accreditation Council for Graduate Medical Education. Although combined programs will not be independently accredited, the accreditation status of the parent internal medicine and pediatrics programs influences a combined program resident's admission to the certifying examinations of each board. The boards will not accept training in a newly established combined program if the accreditation status of the residency in either discipline is provisional or probationary. If the residency in either discipline is accredited on a probationary basis, residents should not be appointed to the combined program.

At least two residents must be enrolled in each year of the 4-year program to ensure peer interaction.

GENERAL REQUIREMENTS

A combined residency in internal medicine-pediatnics must include at least 4 years of coherent training integral to residencies in the two disciplines that meet the special requirements for adcreditation by the Residency Review Committee of Internal Medicine and Residency Review Committee of Pediatrics, respectively.

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