I was interested in learning more about the combined neuro/psych residency because I wanted to become a neuropsychiatrist. Do you know anybody who is a neuropsychiatrist?
There are neuropsychiatry fellowships post psychiatry, which from what I have read are research oriented, i.e. psychiatrists who want to understand the biologic basis of psychiatric disorders, often using new imaging technologies, so:
1. Psychiatry resideny -> Neuropsychiatry fellowship -> Research opportunities in neuropsychiatry plus can practice as a Psychiatrist.
A combined resident in psychiatry and neurology means that you are both a psychiatrist and neurologist.
2. Combined Neurology/Psychiatry residency -> You are Neurologist and Psychiatrist. You could do a fellowship after this like neuropsychiatry, epilepsy that would lead to research opportunities.
You can see, I hope, that the neuropsychiatry fellowship is very different from a combined residency. Why spend years a neurologist residency seeing stroke, headache, etc. . . if you want to neuropsychiatry fellowship post psychiatry residency? If you do a combined residency you are a neurologist and psychiatrist i.e. can be Board Certified in both, however, if you just want the neuropsychiatry fellowship which is *highly* specialized you can do this after either a psychiatry residency or neurology residency. I could give you better advice if you could describe what you want to do, i.e. neuropsychiatric research (also people with PhDs can do this) or if you want to practice Neurology AND Psychiatry. There is a big difference from someone who is a psychiatrist and does a neuropsychiatry fellowship from someone who is board certified in both fields, the former is training to do highly specialized research, the later can legally, ethically see both neurology and psychiatry patients. Being doubled board in both Neurology and Psychiatry does not give you some sort of special view on your psychiatry patients, it just means you have extra training to evaluate patients with pure neurological disorders. Neuropsychiatry fellowship, in my opinion, allows you to compete for funding for neuropsychiatric research projects on which many types of people PhDs, MD, neuroradiologists, may collaborate.
I am not an expert on this, so please do a google search for neuropsychiatry, here is something I found about Brown's program, note that the director is a psychiatrist and neurologist by training:
Combined Neurology-Psychiatry Residency
Overview
The fields of neurology and psychiatry have been brought closer together by advances in basic neuroscience, genetics, pharmacology, and imaging. Each field offers unique perspectives for understanding diseases of the brain and central nervous system. The Combined residency training in neurology and psychiatry is designed for physicians who plan on a clinical or research career in the clinical neurosciences and who have determined that completing clinical training in each specialty will provide them with the best background to meet their career goals.
Mission
The mission of the Brown University Combined Residency Program in Neurology and Psychiatry is to provide solid clinical training in both neurology and psychiatry for future leaders in clinical neuroscience. At the completion of training combined residents are eligible for board certification in both neurology and psychiatry.
The Brown University Combined Training Program began in 1995. The combined residency was certified by the Accreditation Council for Graduate Medical Education (ACGME) and the American Board of Psychiatry and Neurology (ABPN) in 1996. The first combined resident graduated in 2001. We are currently one of a small group of combined programs who are certified by the ABPN and ACGME.
Brown Medical School offers an excellent environment for combined training in neurology and psychiatry. The residency programs in neurology and psychiatry are both well developed, and the departments enjoy a close working relationship. There is also a close working relationship with the Department of Neurosurgery and a growing collaboration with the campus department of neuroscience, which is quite strong in brain/behavior research. The program is small enough that residents are able to develop close mentoring relationships with an outstanding group of faculty in the Medical School. Neuropsychiatric research is a major theme for a large number of faculty in the School of Medicine.
The Neuropsychology program at Brown has a strong national reputation. There are mature neuropsychiatric research programs in movement disorders, dementia, geriatric psychiatry, mood and anxiety disorders, stroke, epilepsy and pediatric neurology.
Program Direction
Stephen Salloway, M.D., M.S. is the Director of the Combined Training Program. Dr. Salloway is an Associate Professor of Clinical Neurosciences and Psychiatry, and Human Behavior. He graduated Stanford Medical school and completed residency training in neurology and psychiatry at Yale University. His research focuses on developing new treatment for vascular dementia and Alzheimer's disease. He is a past President of the American Neuropsychiatric Association and he writes lectures widely on neurobehavioral disorders. A Training Committee made up of Janet Wilterdink, M.D., Director of Neurology Training and Timothy Mueller, M.D., Director of Psychiatry Training, and the Combined Residency Director oversees the Combined Training Program. The Training Committee meets annually to review the curriculum and the progress of each resident.