Through our new EIP program "REACH," the Patients First arm is dedicated to developing an enhanced model of the doctor-patient relationship and to improving clinical outcomes in the primary care continuity clinic setting. The goal of this initiative is to create a more seamless continuum of care for patients with chronic disease. Residents receive twice-yearly "physician profiling" reports on their own patient panel that include important preventative care and chronic disease measures. Residents are encouraged to embrace the "Advanced Medical Home" model of patient care, and now have a redesigned evaluation system with feedback from faculty, patients and ancillary staff to provide more accurate feedback. We have integrated an "immersion week" in which residents spend a dedicated week in their continuity clinic each year. During the intern immersion week, interns spend time with different members of the clinic team learning their function and what services they provide. By more quickly integrating into the clinic, interns can function more efficiently and effectively during their continuity clinic. The continuity clinics are forming multi-disciplinary QI groups that distinctly include resident members at each site in order to continuously improve the medical care delivery and experience for both residents and patients.