Questionnaires were sent to the directors of combined residency programs in internal medicine and pediatrics. All the programs emphasized training in primary care and included the use of outpatient clinics where residents often work with nonphysician health care providers. (Author/MLW)

A program combining pediatrics and internal medicine is described. The four-year program, focusing on ambulatory care, alternates six-month rotations in each field and includes clinic training. Success factors include comparison of outpatient and inpatient care, developing an ambulatory practice to support resident salaries, and preparation for…