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During the ambulatory week, senior residents spend one day a week in a clinic separate from their continuity clinic at Rochester General Hospital. This can either be in a subspecialty or a community based primary care practice. We call this the “majors” rotation. It allows the residents to gain further experience in a subspecialty of their interest which is especially helpful if they wish to pursue a fellowship. Should they choose a community based primary care practice, it allows them to work with an experienced primary care physician and get a real world experience.

We like to believe involvement in a major will convey a distinct advantage in helping a resident clarify a focus of interest if a fellowship is to be pursued, and discussing this rationale on the interview circuit. Career decisions are made after more exposure, and letters of recommendation are based on more than just a short month elective. Thus far the "majors" option has been enormously popular.