Training for Primary Care

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Abstract
Outpatient clinics can be used to train physicians for primary care. Our program, based in the outpatient department of a city-county hospital and operational for three years, has been well accepted by medical residents. The program directed toward primary care training has emphasized continuity of care, house staff supervision, and hospital-clinic interaction. All residents have a one-half day a week clinic during which they follow up on their patients. In the ambulatory inpatient service, two residents are assigned who alternate ward and clinic responsibilities. Clinic physicians are attending staff for this service, which gives them an inhospital base. A lecture, seminar, and conference schedule has been developed for issues related to primary care not covered in the usual medical residency. Internal medicine training programs should include continuing general ambulatory medical experience to train residents in primary care.

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