Program Overview

Our program launched with our first intern class in June 2017. While we fully expect the curriculum to continue to evolve alongside our residents below is an outline of what you can expect as a Combined Internal Medicine and Psychiatry trainee at UT Southwestern Medical Center.

The five-year curriculum provides 30 months of training in internal medicine and 30 months of training in psychiatry with residents alternating between the two departments at regular intervals.

PGY-1: Intern Year

During the internship year, residents rotate between six months of internal medicine and six months of psychiatry.

The internal medicine internship months are split evenly between inpatient wards and critical care with an additional month of emergency medicine. This rigorous schedule is made possible through use of firms and 4+1 scheduling to which Medicine/Psychiatry residents will adhere during each of their medicine blocks.

The combined program intern will spend half of their psychiatry block on inpatient psychiatry services. The balance of their time will be spent between emergency, community, and addiction psychiatry services.

PGY-2 and 3

Residents will continue to alternate between medicine and psychiatry training every six months during their second and third post-graduate years as they deepen their understanding of diagnosis and acute patient care while beginning to develop their combined internal medicine and psychiatry medical practice.

On medicine, residents will return to inpatient wards and critical care units as upper-levels and gain opportunities to pursue electives in subspecialties, research and other areas of interest. Inpatient psychiatry will continue to be a focus during psychiatry months as will experiences in addiction, consult-liaison, forensic, geriatric, and child and adolescent psychiatry.

PGY-4 and 5

During the final two years of training residents will consolidate and integrate much of their knowledge of internal medicine and psychiatric care while developing skill in the long-term management of psychiatric illness.

Twelve consecutive months of organized, continuous outpatient psychiatry and psychotherapy training anchors the curriculum of the fourth and fifth post-graduate years. Bookending this is a total of twelve additional months in internal medicine with ample opportunities for further pursuit of scholarly and career interests.