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ACP offers a number of resources to help members make sense of the MOC requirements and earn points.
Understanding MOC Requirements
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April 11-13, 2019
Internal Medicine Meeting 2019
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Combined Internal Medicine and Pediatrics (Med-Peds) residency
programs provide concurrent, dual training in Internal Medicine and
Pediatrics, and allow eligibility for board certification and
practice in both disciplines. Physicians practicing Med-Peds see
both adults and children in a wide variety of practice settings and
practice styles. Practice settings range from outpatient primary
care to inpatient hospitalist practice, and practice styles range
from urgent acute illness care to the longitudinal chronic illness
care of patients with congenital heart disease.
Recognizing the need for physicians with in-depth skills in the
provision of care to adults and children, the American Board of
Internal Medicine and the American Board of Pediatrics approved
combined training leading to dual board eligibility in 1967. Since
then, combined internal medicine-pediatrics residency programs have
flourished, especially since the mid-1980s. Med-Peds attracts
bright, capable physicians desiring a challenging career path
either in primary care or further subspecialty fellowship
With their in-depth knowledge of both internal medicine and
pediatrics, Med-Peds physicians can synthesize their clinical
knowledge into care for patients spanning the spectrum from birth
until death. They encounter a wide variety of patients and clinical
scenarios: well baby visits, high risk deliveries, newborn
assessments, common childhood illnesses, emergency room visits,
basic gynecology care, inpatient adult and pediatric patients,
outpatient adult and pediatric patients, adult and pediatric
intensive care. Because of their dual training, Med-Peds physicians
are uniquely qualified to care for adolescent patients,
particularly children with complex and chronic conditions as they
transition to adulthood.
Med-Peds trainees and physicians receive the same in-depth training
as their categorical pediatric and internal medicine colleagues.
Recognizing a shared knowledge base, a Med-Peds residency is
streamlined into 4 years of residency training. Residents change
between their internal medicine and pediatric rotations every 3-4
months, depending on the residency program. By the end of 4 years,
residents will have completed core requirements for both
categorical internal medicine and categorical pediatrics, including
some elective time.
A frequently asked question regards the differences between
Med-Peds and family medicine training and practice. Although both
Med-Peds and family physicians are trained to care for both adults
and children, Med-Peds training is 4 years instead of 3, includes
more in-depth training in both internal medicine and pediatrics,
does not include obstetrics/gynecology or surgical training, and
allows for dual board certification. In practice, Med-Peds
physicians are generally more narrowly trained to care for both
healthy but also very complicated children and adults in great
depth, while family physicians are trained to attend to the broader
needs of a family in both health and sickness, with a clear focus
on the primary care of the family unit.
For the 2011-2012 academic year, there are 80 ACGME-accredited
training programs in Combined Internal Medicine and Pediatrics with
1,422 active positions.
At the completion of residency training, Med-Peds graduates are
board eligible for certification by the American Board of
Pediatrics and by the American Board of Internal Medicine
American Board of Internal
Med-Peds residents may choose to enter a subspecialty fellowship in
either or both internal medicine and pediatrics. Having dual board
eligibility may prove more competitive to fellowship directors.
Many residents choose a fellowship where their expertise in both
specialties will be beneficial. Med-Peds trained physicians have
pursued nearly every type of fellowship training; cardiology,
endocrinology, and infectious disease are among the most popular
fellowships. Combined internal medicine and pediatrics subspecialty
fellowships can be streamlined via special arrangements with the
fellowship directors and the boards.
Med-Peds physicians practice in the wide variety of settings and
styles available to internists and pediatricians. Primary care,
inpatient care, subspecialty practice, and urgent care are among
the most popular practice styles. Practice settings range from solo
practice to large multi-specialty groups to academic medical
centers. Some Med-Peds physicians pursue international health
careers in the U.S. or other countries
American College of
American Academy of
Society of General Internal
Official Resident Website
National Med-Peds Residents'
February 2012 Issue of IMpact
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