Solutions to Common Problems in Training Learners in General Internal Medicine Ambulatory Settings

Directors of internal medicine educational programs at the undergraduate and graduate levels strive to provide optimal educational experiences in the general internal medicine ambulatory setting (ambulatory GIM). The optimal experience for medical students can be defined as an experience that allows them to "develop competence for training practice"1 in the tenets of outpatient medicine, including continuity of care, management of chronic diseases, and acute care of common outpatient illnesses in an educationally rich, supportive, and engaging environment. Here, Denton et al describe the challenges of training medical students and internal medicine residents in ambulatory GIM settings and propose solutions supported by the literature when available.