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In combined medicine, it is important to weave a diagnosis and treatment plan that not only integrates the patient's physical and behavioral health issues but does so with an eye toward social context and the power of the clinical moment.  Developing a trusting therapeutic alliance and making a difference for our patients often depends on being a full family physician and a full psychiatrist all in one white coat!  With combined faculty in place during clinical sessions over the course of the residency, residents are guided toward active and seamless integration of the skill sets needed to make every clinical visit count.