February 1987

Ambulatory Training of Residents

Arch Intern Med. 1987;147(2):206. doi:10.1001/archinte.1987.00370020026015

To the Editor.  —We appreciate the special report by Goodson et al in the September 1986 issue of the Archives and want to share our approach to some of the problems they raised.We agree with the sentiment noted by Goodson et al1 and by the authors of the accompanying editorial2 that, through dedicated ambulatory blocks, residents can develop a more positive attitude about ambulatory medicine. This way residents are not made schizophrenic by trying to cover a busy inpatient service at the same time they are expected in clinic.Our ambulatory blocks are each three-months long. By holding any given specialty session on the same half-day throughout this three-month period, the resident gets a chance to schedule follow-up visits, unlike most four-week rotations. Half days are devoted to outpatient sessions in gynecology, dermatology, acute care, allergy, and rheumatology as well as the resident's own continuity clinic. In

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