The fifth year of training is divided evenly between internal medicine and psychiatry, usually in 3-month blocks. This year includes time to complete any remaining rotations required for board eligibility in each specialty as well as time for self-designed electives (may include research).
Call obligations continue as in the fourth year according to the particular rotation, with two to three back-up calls per month on psychiatry and calls per individual rotation schedules on internal medicine.
And, as with the fourth year, residents can decided if they would like to continue working in their continuity of care clinics.
While there is no formal "chief year" for combined residents, fifth year residents help plan and organize the program, assist in recruitment, and serve as role-models and mentors to other residents.
For a more in-depth look at each year of training, explore the following: