Abstract
Ambulatory care training has an increasing presence on the medical education landscape. Mean training time in internal medicine ambulatory settings is approximately 30% for students and residents ( 1 Levinsky N.G A survey of changes in the proportions of ambulatory training in internal medicine clerkships and residencies from 1986–87 to 1996–97. Acad Med. 1998; 73: 1114-1115 Crossref PubMed Scopus (17) Google Scholar ). Several studies have failed to demonstrate educationally meaningful differences in the subjective or objective evaluation of student competencies of those trained part-time in ambulatory settings compared with students trained entirely in the hospital ( 2 Pangaro L Gibson K Russell W Lucas C Marple R A prospective, randomized trial of a six-week ambulatory medicine rotation. Acad Med. 1995; 70: 537-541 Crossref PubMed Scopus (27) Google Scholar , 3 Papadakis M.A Kagawa M.K A randomized, controlled pilot study of placing third-year medical clerks in a continuity clinic. Acad Med. 1993; 68: 845-847 Crossref PubMed Scopus (16) Google Scholar , 4 Kalet A Schwartz M.D Capponi L.J Mahon-Salazar C Bateman W.B Ambulatory versus inpatient rotations in teaching third-year students internal medicine. J Gen Intern Med. 1998; 13: 327-330 Crossref PubMed Scopus (29) Google Scholar ).
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