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Consistent with our focus on ambulatory training, our upper level residents attend two half-day clinic sessions per week, even though The American Board of Internal Medicine requires only one. Residents may choose to convert the second half-day of clinic to an outpatient clinic in a subspecialty area. In addition to the traditional Internal Medicine subspecialties, majors are presently available in Sports Medicine and Pathology.

 The majors are in six-month blocks, and though intended to enrich any resident’s ambulatory experience, it is especially helpful for those residents considering a fellowship. 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 based on more than just a short month elective. Thus far the "majors" option has been enormously popular.