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Residency Program
Med-Peds
The
Departments of Internal Medicine and Pediatrics at UAMS have jointly offered
a combined residency in Internal Medicine and Pediatrics since the early
1980's. The program consists of four years of graduated responsibility
providing care to patients of all ages. Currently the departments offer five
positions annually at the PGY-1 level. The education of the 'Med-Peds'
resident is fully integrated into the Internal Medicine and Pediatrics
programs.
Residents begin with a 1.5 year term as an intern with direct, patient care
responsibility and the supervision of senior, residents and staff
physicians. This is followed by 2.5 years as a senior resident where
patient care responsibilities are combined with supervision of interns and
medical students. Although the prospect of more than 1 year as an intern may
seem to be somewhat arduous, the vast majority of residents have found the
second year [transition from intern to resident responsibilities] to be
helpful in their educational development.
Residents typically switch from Medicine to Pediatrics [or vice-versa] every
3 months. Current call schedules and float systems are in place to maintain
compliance with work hour limits on all clinical services.
Electives on both Internal Medicine and Pediatrics are chosen from the
electives available to categorical residents in each specialty; integrated
adult and pediatric experiences on certain electives are also available.
The
Medicine-Pediatrics residents are not expected to be the same as categorical
Pediatrics or Internal Medicine residents. They are expected to be as
knowledgeable and able to provide excellent care; but in addition they are
expected to be able to add some additional breadth to patient care
discussions, as a by-product of their training in the complementary
specialty area.
At the
completion of the four-year program, Medicine-Pediatrics trained physicians
are eligible to sit for both the American Board of Internal Medicine and the
American Board of Pediatrics certifying examinations.
The
graduates of this program are filling many roles in the provision of health
care in Arkansas and across the nation. Med-Peds physicians graduating from
this program have pursued careers in academics, as hospitalists, with family
physicians/internists/pediatricians and with other Med-Peds physicians. Most
are in primary care, but some have pursued subspecialty training in Internal
Medicine, Pediatrics, and combined fellowships. There are currently six Med-Peds
trained and certified faculty at UAMS/ACH. There are close to 20
Medicine-Pediatrics graduates in private practice in the central Arkansas
area and "private practice" rotations are available with these individuals.
The flexibility of Medicine-Pediatrics specialists makes them attractive in
many practice settings. This brief summary is only an overview of the
combined Internal Medicine/Pediatrics residency program at UAMS. To get a
true feel for this challenging, but also very rewarding program, we welcome
you to come for a visit.
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First Year |
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Pediatric Wards * |
3 months |
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Medicine Wards(UAMS or VA) ** |
2 months |
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Pediatric Outpatient (ER, clinic) |
2 months |
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Term Nursery * |
1 month |
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Ward Float (8 p.m.-8 a.m., Monday - Friday) |
1 month |
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MICU *** |
1 month |
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Medicine Electives (no call) |
2 months |
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Second Year |
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Pediatric Outpatient |
1 month |
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Growth/Development |
1 month |
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Pediatric Wards |
1 month |
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NICU |
1 month |
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Primary Care Elective (no call) |
1 month |
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Pediatric Elective (no call) |
1 month |
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Medicine Wards (UAMS or VA) |
2 months |
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Medicine Electives (no call) |
2 months |
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UAMS ER ( 12 hour shifts, 17 total shifts ) |
1 month |
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CCU *** |
1 month |
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Third Year |
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Pediatric Wards |
1 month |
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PICU * |
1 month |
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Outpatient Peds Clinic |
1 month |
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NICU (weekend 24hr call) |
1 month |
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Pediatric Electives (no call) |
1 month |
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Medicine Wards (VA or UAMS) |
2 months |
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Night Float (8 p.m.-8 a.m. Monday - Friday) |
1 month |
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MICU *** |
1 month |
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Medicine Electives (no call) 2 months |
2 months |
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Pediatric Cardiology Team |
1 month |
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Fourth Year |
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Pediatric Wards |
1 month |
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NICU (Weekend 24 hr call) |
1 month |
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Peds ER/Admitting Resident (no call) |
1 month |
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Pediatric Electives 3 months
(one month no call, others every 4th night ER) |
2 months |
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Medicine Wards (VA or UAMS) |
2 months |
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CCU |
1 month |
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Medicine Electives (no call) |
3 months |
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Adolescent Medicine (****) |
1 month |
*Pediatric Call:
Every 4th night call [maximum]
** UAMS Ward Call:
2 - 3 weekend 24 hr. calls and 5-6 weekday short-calls to 8 p.m. each month -
VA Ward call averages every 6th night
***1 Weekend 24 hr./
weekday short call
****May be done as an
elective earlier in training program
UAMS Internal Medicine
Residency Office
4301 West Markham, Slot 634
Little Rock, AR 72205
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