In addition to ambulatory block experiences, all housestaff spend one afternoon in a weekly continuity clinic or office practice. Continuity clinics are available at all of the major hospitals affiliated with the University of Connecticut as well as the Newington VA Medical Center. Continuity clinic is preceded by a conference covering a core curriculum of case-based topics in an interactive session between the ambulatory director, clinic preceptor, and residents in the continuity practice. To promote continuity of care, the practice site and day of the week remain unchanged throughout the three-year curriculum. Interns attend continuity clinic during all of their rotations. During the PGY2 and 3 years, residents may elect to do a second continuity experience during elective months. This may be in General Medicine or any Medicine subspecialty. Each year, each clinic/resident will pick a quality improvement project to perform in the clinic setting. Recent projects included looking at immunization rates for our clinic population, cancer screening rates, and the quality of care delivered to our patients with heart failure and diabetes.