Each week, the resident directly cared for patients, supervised the care manager, and attended IMPACT team meetings. The resident spent ½ day per week doing ambulatory psychiatric consultations and long-term psychiatric care for some patients in the geriatrics primary care clinic. Caring directly for patients in this clinic helped the resident learn the day-to-day functioning of the clinic, meet the clinic staff and physicians (which aided coordination of care), and further develop clinical skills in the treatment of geriatric patients. Also, the resident met with the collaborative care team weekly for 1 hour to assess the progress of the collaborative care implementation project and troubleshoot problems. The resident and attending psychiatrist co-supervised a depression care specialist for 1 hour weekly. Depression care specialist supervision by a psychiatrist is a key component in successful collaborative care programs (3, 6). It is notable that this resident’s elective co-occurred with implementation of collaborative care in the medical center’s geriatrics clinic, making it possible for the resident to observe and participate in project implementation. For example, the resident helped prepare and participated in the training and introduction of the collaborative care model to other trainees and geriatrics faculty. Part of the rotation involved preparing reports for, and sitting in on meetings with, members of the foundation who funded IMPACT implementation at the institution. Scholarly work was also expected. The resident and attending physician developed a poster presentation for a national meeting.