Resident learning in ambulatory care settings requires the adaptation of clinical skills acquired from work on inpatient services. In this observational study, several ways in which a group of internal medicine residents adapted to the stress of clinical work were documented. The quantity and quality of faculty supervision of the residents' ambulatory experiences were examined, noting that close supervision rarely occurs. Suggestions are made about several possible approaches toward enhancing the educational quality of residents'experiences in ambulatory care settings.
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