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Medicine Psychiatry Residency

Prospective Resident Information

The Combined Internal Medicine/Psychiatry (Med/Psych) residency program at SIU started in 1992. Our Med/Psych program provides residents a high quality educational environment, as well as regular opportunities to integrate knowledge and skills in both specialties.

Throughout the residency, there is emphasis on specific medical problems of psychiatric patients, psychiatric problems of medical patients, and the combined care of individuals whose health needs have crossed the boundaries of traditional specialties. Following residency completion, all residents are board eligible in both Internal Medicine and Psychiatry.

The Division of Medicine/Psychiatry collaborates closely with the departments of Medicine and Psychiatry. The Program Directors of all three residency programs meet regularly to ensure smooth coordination and transitions within the Med/Psych residency. Residents are involved in research in all three departments.

By completing a Med/Psych residency, residents have the opportunity to join an elite group of uniquely trained physicians in the United States. Please see the respective SIU Internal Medicine and Psychiatry websites for more details of these residencies.

Why choose a career in Medicine/Psychiatry?

Clinical experience reveals a multitude of patients with:

  • Psychiatric problems that negatively impact the diagnosis and treatment of medical problems
  • Medical illnesses that often go unrecognized and untreated because of chronic psychiatric problems
  • Medical illness that present with psychiatric/behavioral symptoms
  • Developmental disabilities with difficult to diagnose medical and psychiatric symptoms
  • Substance abuse disorders causing significant medical complications

A depth of knowledge of both medicine and psychiatry allows the physician to provide better care for these patients. Additionally roles exist for the dually trained physician to provide for the primary care needs of underserved psychiatric patients as well as the needs of medically ill patients who would not otherwise accept mental healthcare.

Why choose SIU School of Medicine for residency in Medicine/Psychiatry?

  • Both the Departments of Psychiatry and Internal Medicine strongly support the Med/Psych program.
  • Outpatient integrated Med/Psych clinic provides experience in managing patients at the interface of these disciplines.
  • Strong training in psychotherapy in addition to biological psychiatry.
  • Strong training in ambulatory general medicine
  • Well-developed educational system encouraging the resident to develop integrative knowledge and skills.
  • Resident education and development is a strong focus at SIU.
  • Our Psychiatry department is now part of a greater Neuroscience Institute, a collaborative approach with the Neurology and Neurosurgery departments.
  • All upper level faculty are readily accessible according to the residents. They are open to feedback and very responsive to it.

The Curriculum

An example rotation schedule for our 5-year combined Medicine/Psychiatry residency program is listed below. Rotations that count toward Psychiatry Board certification are colored teal while, rotations that count toward the Internal Medicine Board certification are colored light blue.

  • You will spend a total of 30 months in Internal Medicine and 30 months with Psychiatry.
  • From your first year, you will have an integrated Med/Psych clinic.
  • Every week, you will have a half-day of immersion in the alternate department. (e.g. when you are on Medicine, you will have a half day at Psychiatry.) This creates a continual pattern of intergrated learning throughout the five years.

Positions Offered

Two PGY I combined Medicine/Psychiatry (Med/Psych) positions are offered per year.

Due to the small number of Med/Psych programs nationally, applicants are encouraged to apply to both categorical and combined programs. SIU is happy to accept applicants to 2 or 3 of these programs within our institution.

Per the American Board of Internal Medicine and the American Board of Psychiatry and Neurology, categorical Medicine or Psychiatry residents can transfer into the Med/Psych program at or before the PGY II level if there is an opening. This is easiest if the resident is from SIU.  Approval of both Boards is necessary for acceptance and subsequent board eligibility.

Duration of Program: 5 years

Apply to Our Program

  • All applications to our program must be completed through the ERAS
  • After receipt of all required documentation, each application is reviewed on a rolling basis.
  • An invitation to interview may be extended to candidates after review of their application materials. An interview is required of all qualifired applicants.
  • Per University policy, prior to entry into the residency program, matriculants must have passed parts of the Step I and Step II (CK/CS) USMLE, or Level I and Level II (CE/PE) COMLEX prior to entry into a residency program. Typically this will mean that you must pass these examinations by March 1st of the year in which you anticipate starting residency.
  • You will also be expected to pass USMLE Step III or COMLEX Level III by the end of the PGY-2 year before renewal of your PGY-3 contract.
  • We recommend that applicants not currently enrolled in medical school have uninterrupted clinical activity during the year prior to starting residency.