We do not believe that service and education should be competing interests. Residents are here to learn and the faculty is here to teach. In the process they will provide service to many patients. During the three years, residents spend increasingly more time in the health center following their own panel of patients. Inpatient rotations provide residents with primary responsibility for patients admitted to their care with appropriate supervision from faculty. While there is certainly no lack of opportunities for experience, in general, the number of admissions and inpatient load will be adjusted to provide the right mix for optimal learning. While much formal teaching takes place, residents are also expected to aggressively pursue their own education. It is our intention to make the best use of every hour residents spend in the program.