Over recent years, with the strong shift to outpatient treatment, influx of health management organization and the advent of cost-containment by decreasing hospitalizations, ambulatory medicine has become pivotal in the training of future physicians. A one month rotation designed to introduce fourth year medical students to the outpatient medicine setting is required for all Morehouse School of Medicine medical students. In addition to learning the pathophysiology, natural history, diagnosis, and treatment of common diseases, student will be introduced to cost-effective medicine. The lectures and problems oriented discussions are a key base of this rotation. Each lecturer will do 1-2 problem-oriented case at the end of each session. Patient management will be discussed in various clinical settings including, Morehouse Grady Clinic, Grady Urgent Care Center and Morehouse Medical Associates Office.