Remember Me
Or use your Academic/Social account:


Or use your Academic/Social account:


You have just completed your registration at OpenAire.

Before you can login to the site, you will need to activate your account. An e-mail will be sent to you with the proper instructions.


Please note that this site is currently undergoing Beta testing.
Any new content you create is not guaranteed to be present to the final version of the site upon release.

Thank you for your patience,
OpenAire Dev Team.

Close This Message


Verify Password:
Verify E-mail:
*All Fields Are Required.
Please Verify You Are Human:
fbtwitterlinkedinvimeoflicker grey 14rssslideshare1
Bellini, Lisa M.; Asch, David A. (1997)
Publisher: Co-Action Publishing
Journal: Medical Education Online
Languages: English
Types: Article
Expanding primary care and ambulatory experiences in internal medicine training programs is limited by insufficient resources devoted to their development and implementation, heavy inpatient service demands and loyalty to the traditional inpatient based training model. Overcoming these barriers is a challenge likely to create new approaches to ambulatory education. The Pilot Education and Ambulatory Care (PACE) program at the Sepulveda VA is one such initiative that represents a multidisciplinary approach to primary care services, improving quality and access to patient care services, as well as the quality of primary care education. We describe the development of a similar model for resident training and primary care service, also funded through the Veterans Affairs (VA), but implemented with fewer resources. The program redirects faculty and administrative resources to a new clinical environment centered around primary care. We believe this educational model has broad implications for the future of medical training because it is achievable and thus exportable to other programs.
  • The results below are discovered through our pilot algorithms. Let us know how we are doing!

    • 1. 1989-1990 Directory of Graduate medical education programs. Chicago, IL: American Medical Association, 1989.
    • 2. Robbins AS, Guze PA (eds). Proceedings from the Conference on Ambulatory Care and Education, July 1988, Los Angeles, California. Acad Med. 1989;64(10 suppl).
    • 3. Cope DW, Sherman S, Robbins A. Restructuring VA ambulatory care and medical education: the PACE model of primary care. Acad Med. 1996;71:761-771.
    • 4. Rubenstein LV, Yano EM, Fink A, et al. Evaluation of the VA's pilot program in institutional reorganization toward primary and ambulatory care: part I: changes in process and outcomes of care. Acad Med. 1996;71:772-783.
    • 5. Rubenstein LV, Lammers J, Yano EM, Tabbarah M, Robbins AS. Evaluation of the VA's pilot program in institutional reorganization toward primary and ambulatory care: part II: a study of
    • 6. Hayashi SA, Hayden BB, Yager J, Guze PA. Graduate education in ambulatory care. Proceedings from the Conference on Ambulatory Care and Education. July 1988, Los Angeles, California. Acad Med. 1989;64(10 suppl): S16- S21.
    • Wall EM, Saultz JW. Retraining the subspecialist for a primary care career: four possible pathways. Acad Med. 1994;69:261-266.
    • 8. Barker LR. Curriculum for ambulatory care training in medical residency: rationale, attitudes, and generic proficiencies. J Gen Intern Med. 1990;5(1 suppl):S3-S14.
    • 9. Lawrence RS. The goals of medical education in the ambulatory setting. J Gen Intern Med. 1988;3(2 suppl):S15-S25.
    • 10. Robbins AS, Cope DW, Campbell L, Vivell S. Expert ratings of primary care goals and objectives. J Gen Intern Med. 1995;10:429-435.
    • 11. Rich EC, Wilson M, Midtling J, Showstack J. Preparing generalist physicians: the organizational and policy context. J Gen Int Med. 1994;9(4 suppl):S115-S122.
    • 12. Nelson R. Retraining physicians for primary care. Iowa Med.1995;85:175.
  • No related research data.
  • No similar publications.

Share - Bookmark

Cite this article

Collected from