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This is somewhat a unique question. I'm currently considering combined IM/Psych programs, and was wondering if such a program would offer the flexibility to work in a subspecialty of psychiatry, say geriatric or addiction psychiatry, sans a respective fellowship? My main focus will be psychiatry, but have come to realize that I also can see myself enjoying practicing IM as well. If I were to do pure psych, coupled with a fellowship in either geriatrics or addiction, it would take me five years, the same time as a combined program. Any input is appreciated.
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