Pennsylvania State University College of Medicine conducts an off-campus retreat for medical residents, in which the instructional focus is on the humanities and particularly difficult medical and ethical issues. Students have found the format beneficial both personally and professionally, valuing involvement of senior faculty, the programs'…

A program combining pediatrics and internal medicine is described. The four-year program, focusing on ambulatory care, alternates six-month rotations in each field and includes clinic training. Success factors include comparison of outpatient and inpatient care, developing an ambulatory practice to support resident salaries, and preparation for…

The Veterans' Administration new Primary Ambulatory Care and Education (PACE) program at the Sepulveda (California) VA Medical Center, departs from traditional VA medical education models by shifting focus of care from inpatient to outpatient settings. The program uses an interdisciplinary team approach and stresses managed primary care. Aspects…