Ambulatory training since duty hour regulations: a survey of program directors.

摘要

Ambulatory care is an important part of clinical practice for most internists, regardless of whether they pursued subspecialty training. Consequently, the Accreditation Council for Graduate Medical Education requires that internal medicine residents spend at least 33% of their clinical time in the ambulatory setting. Despite this requirement, research suggests that internal medicine residencies do not do a good job of preparing their learners for ambulatory practice. There is considerable interest in improving the quality of ambulatory training in internal medicine residency programs. A reasonable first step would be to examine current practice: the educational and clinical activities currently used to develop resident skills in ambulatory medicine.