The schedule adopted by the University of Iowa Internal Medicine Residency is a 4+1 model. Residents rotate for 4 weeks on an inpatient rotation or consult service followed by a 1 week ambulatory experience. The ambulatory week consists of 5 half days of continuity clinic, 2 half days of specialty clinics, an educational half day focused on ambulatory medicine, ultrasound, teaching skills, and quality improvement. This dedicated ambulatory week enhances the outpatient experience through patient continuity and educational opportunity.
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