Combined Internal Medicine/Psychiatry Program
Combined IM/Psychiatry residents are dual citizens, splitting their time between both categorical programs, distilling seven years of training into five years by capitalizing on the clinical skills that overlap both disciplines. Combined residents participate in rotations and didactics of the sponsoring categorical programs as well as develop new rotations and experiences in integrated care.
We are looking for innovators, integrators, and ignitors of change.
We are excited to announce our inaugural year of combined Internal Medicine/Psychiatry.
So much is happening at MCW in the Behavioral Health integration movement – it’s the perfect time for dual-board training here.
Funded by both the Milwaukee VA and Froedtert Health, the combined program will capitalize on the strengths of both categorical programs while building its own identity with Med/Psych rotations and didactics. We already have a wealth of dual-boarded faculty working in Consult-Liaison, Perioperative Medicine, Integrated Behavioral Health in Primary Care, and Psych-Oncology.
Med/Psych residents at MCW will be pioneering new programs and improving existing integrated efforts at the VA while leading the creation of a new Complexity Intervention Unit at Froedtert Hospital to care for acutely comorbid patients.
- The first few classes will be piloting a new Med/Psych clinic with aspects of consultation, collaboration and continuity primary care.
- Our combined residents will have significant leadership opportunities in program development and will be asked to provide interdisciplinary education.
- There are ample opportunities for scholarly activity within both sponsoring departments.
- Competitive applicants will be able to articulate how combined training will help their future patients and the health care system.
Chart Your Future: Medical Residencies
We are grateful to the Milwaukee VA Medical Center for supporting this residency and its efforts to provide whole-person care to our veterans. Zablocki VA is a top-notch veteran’s hospital with a commitment to training the next generation of doctors to care for our those who have served our country.
- 30 months total of internal medicine
- 4 weeks of emergency room during years 1 or 2
- 4 weeks of care for ICU during years 1 or 2
- 4 weeks of care of ICU during years 3, 4, or 5
- At least 33% (thus 10 months of 30 Medicine months) must involve ambulatory experiences
- Continuity clinic
- At least 4 months of subspecialty experiences (inpatient, outpatient, or a combination)
- Significant exposure to inpatient cardiology
- 30 months of psychiatry training
- 2 months of neurology (1 month in either PGY1-2, and 1 month in PGY3-5)
- Between 6 and 16 months of inpatient psychiatry
- Inpatient geriatric, addiction, and/or forensics can count as inpatient psych months but only above an initial 6 months of general inpatient psychiatry
- 12 months of organized, continuous, and supervised clinical experience in outpatient treatment with experience in both brief and long-term care of patients
- 2 months of child and adolescent
- 2 months of consultation-liaison psychiatry
- 1 month of geriatric psychiatry (inpatient or outpatient)
- 1 month of addiction psychiatry
- Exposure to the evaluation of forensic issues including writing a forensic report
- Exposure to an organized 24-hour psychiatry emergency service, a portion of which may occur in ambulatory urgent-care settings
- Exposure to community psychiatry (community-based settings, crisis teams, public hospitals, community mental health centers)
Sample Rotation Block Grid
Frequently Asked Questions
Based on national needs for healthcare providers, we foresee that trainees completing this program will seek local and national positions combining medical and psychiatric scopes of practice. While they may seek fellowship opportunities for specialization, many enter the workforce and fill administrative roles in behavioral health integration. Graduates are ready to care for complex patients in inpatient and outpatient settings, in high acuity or chronic disease management.
Yes, we have a strong cadre of combined trained faculty members to serve as mentors, three dual trained in Internal Medicine/Psychiatry and one in Family Medicine/Psychiatry.
We must see a letter from a psychiatrist, and one from an internist. A letter of support from a combined-trained faculty member is welcome, but not required. Candidates are expected to describe in their personal statement their reasons for applying to the combined program, and thoughts about their future career goals.
Applications will be reviewed by the program director and the interview process will proceed virtually, with a sample of meetings from both departments that may be spread across multiple days.
Meet Our Program Directors
Mary Beth Alvarez, MD, MPH
“I am excited to bring Med/Psych training back to Wisconsin and open doors for learners to be part of the behavioral health integration movement. We have so many enthusiastic teachers in both departments that are ready to be part of the change our health system needs to bring high-quality services to the most complex patients. It’s challenging to be the first residents in a new program, but the rewards are obvious.”
Kathlyn Fletcher, MD, MA
"I am so excited about the prospect of having a combined internal medicine/psychiatry program at MCW! This is such an important step for our community as a whole, and I have no doubt that such a program will be a very positive influence in the categorical IM residency program. There is so much overlap between internal medicine and psychiatry because so many of our patients have comorbidities in both areas. I am personally very interested (clinically and research-wise) in the hospital care of medical patients with PTSD."
Thomas W. Heinrich, MD
Professor; Vice Chair
Jennifer Knight, MD, MS, FACLP
Associate Professor, Psychiatry and Behavioral Medicine and Microbiology & Immunology
Kimberly Stoner, MD, MS
Education Program Coordinator II