As internal medicine (IM) residents decide to pursue general IM versus fellowships, they may gravitate toward experiences with which they are more familiar and comfortable. We commend Dulay and colleagues~(~(1)) on implementing a 3-week intensive continuity clinic experience that was shown to improve intern satisfaction and confidence with outpatient skills. Across the nation, more IM residency programs have implemented an X+Y schedule with dedicated inpatient or outpatient weeks, replacing the weekly clinic during the inpatient month.Our analysis of Dulay and colleagues' findings prompts us to ask the following question. What are the core reasons why an extended immersive experience in continuity clinic fosters more confidence and satisfaction? We discuss 3 reasons we identified.
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