From a philosophy of clinic first we identified the block schedule as the barrier to providing residents 3 years of continuity with a panel of patients and a learning experience that closely moirros that of a full-spectrum family physician. We designed a longitudinal curriculum that allows rsidents to care for a panel of 400 patients and learn/practice inpatient medicine, OB , geriatrics, urgent/emergent care, community medicine, and electives at a continuous pace for 3 years. We will share our 4-year experience and pre/post outcomes assessment of the curriculum, panel size, visits, access, clinical quality, patient satisfaction, and resident competency and wellness.