Thanks for the thoughtful response & article UMBdude and sorry for the lazy wording! To clarify co-manage, I work on an interdisciplinary team which includes a psychiatrist who is a wonderful teacher, as I medically manage a fair share of patients with significant psychiatric comorbidities. From this experience, I particularly find the dynamic interplay between mental health and medicine interesting & it has sparked motivation to potentially pursue further training. Have not found much with regards to dual certifying with my research to this point, however there is a dual certification program out of UTHSC, so I might reach out to them to get a further sense of how things work.