Duke University Hospital Program

Program Identity & Fit

Duke's Medicine-Psychiatry Residency is a five-year combined program with over three decades of continuous history, embedded within a major academic tertiary/quaternary medical center with substantial institutional investment in physician-scientist training infrastructure. The program's clinical identity centers on integrated whole-person care, exemplified by unique combined-training structures like the inpatient "Gen Med 12" rounding team and outpatient integrated clinics, addressing biological, psychological, and social determinants of health for patients affected by systemic inequities. A large cohort of combined-trained faculty, many of whom are program graduates, provides mentorship and staff clinical and educational leadership roles both at Duke and nationally, reflecting a program that reproduces its own subspecialty culture. While the broader Duke Department of Medicine offers extensive research pathways (R38, PSTP, Digital Health Training Program), the Med-Psych program itself emphasizes clinical integration, advocacy, and whole-person care over a research-first identity, valuing residents drawn to the dual-specialty perspective and committed to caring for complex, vulnerable populations.