Too Lazy for Primary Care?
Authors: William G. Kussmaul
Journal: Annals of Internal Medicine (2013)

In the Balance19 November 2013Too Lazy for Primary Care?William G. Kussmaul III, MDWilliam G. Kussmaul III, MDFrom Hahnemann University Hospital, Philadelphia, Pennsylvania.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-159-10-201311190-00010 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail In this issue, Drs. Warm and Goetz report encountering a bias against primary care that they believe is unfortunately too common. According to these authors, faculty (mostly medical specialists) steer their more promising candidates toward specialty training, summed up in the admonition, “You'e too smart for primary care.”A trend toward students choosing specialties over primary care is not new (1). Attitudes such as those described may well contribute to a shortage of primary care physicians destined to worsen with the implementation of the Patient Protection and Affordable Care Act (2, 3).The implication that primary care does not take ...References1. Colwill JM. Where have all the primary care applicants gone? N Engl J Med. 1992;326:387-93. [PMID: 1729622] CrossrefMedlineGoogle Scholar2. Senf JH, Campos-Outcalt D, Kutob R. Factors related to the choice of family medicine: a reassessment and literature review. J Am Board Fam Pract. 2003;16:502-12. [PMID: 14963077] CrossrefMedlineGoogle Scholar3. Novak S. Luring students into family medicine. The New York Times. Accessed at www.nytimes.com/2012/09/10/us/10iht-educlede10.html on 7 July 2013. Google Scholar4. Leigh JP, Tancredi D, Jerant A, Kravitz RL. Annual work hours across physician specialties. Arch Intern Med. 2011;171:1211-3. [PMID: 21747020] CrossrefMedlineGoogle Scholar5. Mintz M. Why medical students aren't choosing primary care (and why they should). Primary Care Progress. Accessed at http://primarycareprogress.org/blogs/16/121 on 7 July 2013. Google Scholar Author, Article, and Disclosure InformationAffiliations: From Hahnemann University Hospital, Philadelphia, Pennsylvania.Disclosures: None disclosed. Forms can be viewed at www.acponline.org/authors/icmje/ConflictOfInterestForms.do?msNum=M13-1778.Corresponding Author: William G. Kussmaul III, MD, Hahnemann University Hospital, 230 North Broad Street, Room 1536, South Tower, Philadelphia, PA 19102; e-mail, w.[email protected]net.Author Contributions: Conception and design: W.G. Kussmaul.Drafting of the article: W.G. Kussmaul.Final approval of the article: W.G. Kussmaul. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetailsSee AlsoToo Smart for Primary Care? Eric J. Warm and Celine Goetz Too Lazy for Primary Care Lynn Bentson Too Lazy for Primary Care Lynn Bentson Metrics Cited ByOsteopathic Medical Education: Answering the CallToo Lazy for Primary CareLynn Bentson, MD 19 November 2013Volume 159, Issue 10Page: 711-712KeywordsConflicts of interestElectrode recordingElectronic medical recordsHeartIntelligencePatientsPrimary careResidency ePublished: 19 November 2013 Issue Published: 19 November 2013 CopyrightCopyright © 2013 by American College of Physicians. All Rights Reserved.PDF DownloadLoading ...