The fellows will be responsible for the weekly ambulatory GIM Urgent Care clinic that takes place at the Hotel Dieu Hospital Brock 1 clinic. The fellows will participate in the weekly clinic except when they are on ICU or away rotations. Problems encountered in clinic are typical of ambulatory General Internal Medicine practice in a secondary or tertiary care setting, with most referrals coming from community family physicians, on-site surgeons, anaesthesiologists and emergency department physicians. These patients tend to have undifferentiated and multi-system problems and usually require semi-urgent assessment. The weekly clinic provides ample opportunity to closely follow complex patients.