The patient-centered clinical training that serves as the basis for the BBH Internal Medicine residency is supplemented and strengthened through a series of lectures that take many forms. Weekly grand rounds, morning report, weekly review for the ABIM exam using audience response technology, and case-based learning are just a few examples. Both hospitals have excellent medical libraries staffed by full-time librarians to aid in literature searches. Teaching transcends the program from faculty to residents, senior residents to junior residents, and junior residents to medical students. This environment of constant learning is critical to the general internist as well as those preparing for subspecialty training.