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MAJ Matthew H. Liang, MC; MAJ John P. Cello, MC; COL Robert K. Modlin, MC

Arch Intern Med. 1976;136(8):893-896.

Abstract
A teaching module in ambulatory internal medicine has been added to a residency program in a large referral hospital. The effort was directed to structure a program of instruction reflecting common problems seen by primary care internists. Patients were screened by supervising staff to make the rotation an efficient learning experience. Experienced nurse clinicians were used to monitor patients with stabilized medical problems, thus freeing the housestaff for problems more suited to their level of training. The nurses also served as role models with which the housestaff could interact and provide continuity and accessibility of care to patients being followed up by transient physicians-in-training. Various teaching conferences based on traditional inpatient models were conducted. Self-assessment and peer review techniques were structured around monthly conferences in which medical records were assessed by each participant.

(Arch Intern Med 136:893-896, 1976)

Author Affiliations
USAR; USAR; USA

From the Department of Medicine, Walter Reed Army Medical Center, Washington, DC. Dr Liang is now at Stanford University, Palo Alto, Calif, and Dr Cello is currently at the University of California Medical Center, San Francisco.

Footnotes
Received for publication Aug 26, 1975; accepted Jan 8, 1976.

The opinions and assertions contained herein are the private views of the authors and do not necessarily reflect the views of the Department of the Army or the Department of Defense.

Reprint requests to Department of Medicine, Walter Reed Army Medical Center, Washington, DC 20012 (Dr Modlin).

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