A key aspect of Internal Medicine (IM) residency training involves developing clinical reasoning skills and educating our patients, colleagues, and ourselves on updated clinical practice guidelines and information. Resident physicians have unique opportunities to develop their teaching skills with their faculty, junior residents, and medical students. Over the last decade, many trainees and programs recognize how resident-led teaching can impact a resident's experience with a program, response to formal teaching, and develop their own clinical reasoning and potential desire to become involved in teaching roles post-graduation. Yet, many programs have limited opportunities to systematically support residents in developing medical education skills. Social constructivism framework allows for learners to practice material learned and can be useful in developing medical education skills. With a large emphasis on ambulatory clinical time in our OHSU Hillsboro IM residency program, I seek to develop an ambulatory medical education elective for our IM residents.