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In addition to participating in the categorical Internal Medicine and Pediatrics curricula (including weekly academic half-days on both sides), we have numerous Med-Peds specific educational opportunities:
Other opportunities for professional growth at Tulane Med-Peds include:
The Tulane Internal Medicine-Pediatrics Residency Program is an integrated program that meets the requirements of the Accreditation Council for Graduate Medical Education and the guidelines for combined training stipulated by the American Board of Internal Medicine and the American Board of Pediatrics. The program incorporates twenty-four months of training in each specialty by alternating between Internal Medicine and Pediatrics. Our residents spend four months at a time on each specialty, ensuring they are exposed to the seasonality of various disease processes, and that they are well connected to both categorical departments.
While rotating on Internal Medicine, residents work at 3 main hospitals, all within downtown New Orleans:
While on Pediatrics, residents rotate at 2 hospitals:
Our Med-Peds resident continuity clinic is located in University Medical Center in downtown New Orleans. At the clinic, residents deliver primary care for patients of all ages, from birth through end of life. The clinic is staffed by Med-Peds faculty, and is open every Tuesday and Wednesday afternoon. Residents attend weekly while on pediatrics, and during their “Plus-1” weeks on Internal Medicine.
Residents maintain their own continuity clinic panel, on an average of 1 half days per week when in Pediatrics and in Internal Medicine, and serve as the primary care provider for these patients. With faculty supervision, our residents obtain histories and physicals from each patient, order indicated laboratory and diagnostic studies treat diagnosed internal medicine and pediatric disease, and counsel patients. The clinic is staffed with faculty preceptors at a ratio of 1 preceptor per 4 residents.
In addition to seeing patients in their continuity clinic, our residents also regularly see pediatric continuity patients in an ambulatory pediatric clinic and during home visits with a local pediatrician, to ensure a robust pediatric primary care experience.
All Tulane Med-Peds residents participate in the BAYOU Bridges curriculum, aimed at preparing residents to provide effective mental and behavioral health care in the primary care setting. Residents complete a set of modules covering topics in mental and behavioral health, including anxiety, depression, ADHD, substance use and addiction, trauma-informed care, violence prevention, and motivational interviewing to prepare them for a one-month rotation comprised of workshops and standardized patient sessions in addition to clinical experiences in child and adolescent psychiatry, addiction medicine (including prescribing medication for opioid use disorder), and integrated mental and behavior health care. BAYOU Bridges faculty plan to introduce a home visit program for adolescents and young adults transitioning from inpatient to outpatient mental health care beginning in summer 2024.