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For information on Covid-19, please see the NEJM Coronavirus (Covid-19) Topic Page.
Introduction
Ambulatory medicine involves a wide range of conditions. In this rotation guide, we cover some key topics that will help you care for patients in a resident continuity clinic and other outpatient settings.
The following topics are addressed in this rotation guide:
Other relevant topics in ambulatory care are covered in the following rotation guides:

Karna Sundsted, MD, is Assistant Professor of Medicine at Mayo Clinic College of Medicine and Science, and a Consultant in the Division of General Internal Medicine at Mayo Clinic.
This rotation guide was developed by a collaborative team of contributors, including:
Writers: Angela Chen, MD; Michael Mi, MD; Andrea Merrill, MD (NEJM Fellows); Alexa Triot, MD (Hypercholesterolemia); and Rustam Rafikov, MD (Dizziness)
Peer Reviewers: John S. Adams, MD; Emily B. Allen, MD; Shannon Fitzgerald; Julie Vannerson, MD; Michelle Christopher, MD; and Joe Rencic, MD
Section Expert: Karna K. Sundsted, MD
Senior Editor: Ole-Petter Hamnvik, MB BCh BAO, MMSc
Last updated: January 2023 by Melissa Bogin, MD, Vanessa Gow-Lee, MD, and Jaeda Roth, MD
Brief Case Presentations with Videos
Ambulatory Care Videos
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Collecting specimens from the surface of the respiratory mucosa with nasopharyngeal swabs is a procedure used to diagnose Covid-19 as well as other respiratory viral infections and certain bacterial infections in adults and children. This video describes the collection of...
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Shoulder pain leads many patients to see a primary care physician. This video reviews the anatomy of the shoulder, common shoulder injuries, and the procedures for obtaining the patient’s history and performing a physical examination of the shoulder.
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Shaikh N et al. N Engl J Med 2010.
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Friedman EM. N Engl J Med 2016.
Video of foreign body removal from the ears and nares
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