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I was very interested in your editorial, "A Change in the Training Model for the Practicing Internist" (Arch Intern Med126:694-697, 1970). A program started at the Milwaukee County General Hospital and the Medical College of Wisconsin has some of the features of your training model, albeit modified, involving rotation of first year medical residents for a two-month period on a combined inpatient-outpatient medical service. Residents rotate in pairs on this service with one resident in the Medical Clinic and the other attending to care of hospital patients. Two to three new patients are scheduled for a resident each day and at the same time, several returning patients are also scheduled. In addition to the combined inpatient and outpatient rotations, the residents also receive instruction from clinic staff physicians, community physicians, psychiatrists, and individuals involved in preventive medicine. Residents make rounds with a psychiatrist on their ambulatory patients