Primary care residents would be the principal providers of primary care services, in close partnership with appropriate faculty, during a 12-month block of clinic training as a third-year resident. Ideally, first- and second-year residents would be assigned to the teaching health centers for their continuity clinics. Then, as third-year residents, they would be well grounded in clinic logistics and capable of performing as an effective team leader. Third-year residents would work in a practice that emphasized continuity of care, with robust faculty support for the development of resident team management and ambulatory clinical skills. Continuity of care would be ensured through the close working relationship between the resident and the supervising faculty member. This arrangement would provide the capacity to deliver coordinated, high-quality, and accessible care—with a substantially increased patient volume—because of the efficiencies of the patient-centered medical home and the physician multiplier effect of senior residents. Because this model would deviate from current training guidelines, it would be necessary for sponsoring institutions to obtain waivers from the family medicine, internal medicine, and pediatrics residency review committees.