Traditional internal medicine residency training consists primarily of inpatient rotations with continuity clinic sessions of variable frequency. This fragmentation makes it challenging for residents to gain comfort and skill in the ambulatory setting and does not accurately represent the practice of primary care. At BIDMC in Boston, our new primary care track is designed to increase continuous time spent in the ambulatory setting and teach residents about innovations in primary care. Our program allows residents to spend 6 consecutive months in the outpatient setting during their junior and senior years. In addition, residents participate in unique projects focused on practice redesign and quality improvement, and they receive leadership training in primary care. Evaluation of this program is in its early stages, but we hope to show that it improves residents’ impression of primary care and increases their likelihood of becoming future leaders in this rapidly evolving field.
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