The medical home might improve delivery of medical care to insured individuals and facilitate implementation of national quality standards, but it would not address the fragmented, inefficient reimbursement system or the barriers to access created by lack of health insurance. Ideally, this leads to decreased disintegration of patient care in inpatient settings, higher patient satisfaction, and increased cost-effectiveness.2 The Accreditation Council for Graduate Megical Education acme requires that all family medicine residency training programs address a large breadth of topics: adult medicine, paediatrics, maternity care, gynaecology, care of the surgical patient, musculoskeletal and sports medicine, emergency care, mental health, community medicine, skin, diagnostic imaging and nuclear medicine, and management of health systems.3 Though all family medicine residencies provide trainees with a shared core of information, individual physician implementation of this knowledge base is sh

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