Internal Medicine Residency Redesign: Time to Take Stock
Authors: Michael E. Whitcomb
Journal: Annals of Internal Medicine (2010)

Editorials7 December 2010Internal Medicine Residency Redesign: Time to Take StockMichael E. Whitcomb, MDMichael E. Whitcomb, MDFrom The George Washington University, Washington, DC 20052.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-153-11-201012070-00011 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail During the past few years, the internal medicine community has engaged in a serious discussion about the need to redesign internal medicine residency training to ensure that residents are prepared to provide high-quality care to the patients whom they are likely to encounter when they enter practice. In 2005, persons within the internal medicine community published several articles (1–3) noting the need to reform certain aspects of internal medicine training. That same year, the Society of General Internal Medicine issued a report (4) calling for the redesign of residency training. In 2006, the American College of Physicians (ACP) (5) and ...References1. Di Francesco L, Pistoria MJ, Auerbach AD, Nardino RJ, Holmboe ES. Internal medicine training in the inpatient setting. A review of published educational interventions. J Gen Intern Med. 2005;20:1173-80. [PMID: 16423111] CrossrefMedlineGoogle Scholar2. Bowen JL, Salerno SM, Chamberlain JK, Eckstrom E, Chen HL, Brandenburg S. Changing habits of practice. Transforming internal medicine residency education in ambulatory settings. J Gen Intern Med. 2005;20:1181-7. [PMID: 16423112] CrossrefMedlineGoogle Scholar3. Arora V, Guardiano S, Donaldson D, Storch I, Hemstreet P. Closing the gap between internal medicine training and practice: Recommendations from recent graduates. Am J Med. 2005;118:680-5. [PMID: 15922702] CrossrefMedlineGoogle Scholar4. Holmboe ES, Bowen JL, Green M, Gregg J, DiFrancesco L, Reynolds E, et al. Reforming internal medicine residency training. A report from the Society of General Internal Medicine's task force for residency reform. J Gen Intern Med. 2005;20:1165-72. [PMID: 16423110] CrossrefMedlineGoogle Scholar5. Weinberger SE, Smith LG, Collier VU; Education Committee of the American College of Physicians. Redesigning training for internal medicine. Ann Intern Med. 2006;144:927-32. [PMID: 16601254] LinkGoogle Scholar6. Fitzgibbons JP, Bordley DR, Berkowitz LR, Miller BW, Henderson MC; Association of Program Directors in Internal Medicine. Redesigning residency education in internal medicine: a position paper from the Association of Program Directors in Internal Medicine. Ann Intern Med. 2006;144:920-6. [PMID: 16785480] LinkGoogle Scholar7. Schroeder SA, Sox HC. Internal medicine training: putt or get off the green [Editorial]. Ann Intern Med. 2006;144:938-9. [PMID: 16785482] LinkGoogle Scholar8. Meyers FJ, Weinberger SE, Fitzgibbons JP, Glassroth J, Duffy FD, Clayton CP; Alliance for Academic Internal Medicine Education Redesign Task Force. Redesigning residency training in internal medicine: the consensus report of the Alliance for Academic Internal Medicine Education Redesign Task Force. Acad Med. 2007;82:1211-9. [PMID: 18046131] CrossrefMedlineGoogle Scholar9. Weinberger SE, Pereira AG, Iobst WF, Mechaber AJ, Bronze MS; Alliance for Academic Internal Medicine Education Redesign Task Force II. Competency-based education and training in internal medicine. Ann Intern Med. 2010;153:751-6. [PMID: 18046131] LinkGoogle Scholar10. Goroll AH, Sirio C, Duffy FD, LeBlond RF, Alguire P, Blackwell TA, et al. Residency Review Committee for Internal Medicine A new model for accreditation of residency programs in internal medicine. Ann Intern Med. 2004;140:902-9. [PMID: 15172905] LinkGoogle Scholar11. Klass D. A performance-based conception of competence is changing the regulation of physicians' professional behavior. Acad Med. 2007;82:529-35. [PMID: 17525533] CrossrefMedlineGoogle Scholar12. ten Cate O, Scheele F. Competency-based postgraduate training: can we bridge the gap between theory and clinical practice? Acad Med. 2007;82:542-7. [PMID: 17525536] CrossrefMedlineGoogle Scholar13. Huddle TS, Heudebert GR. Taking apart the art: the risk of anatomizing clinical competence. Acad Med. 2007;82:536-41. [PMID: 17525535] CrossrefMedlineGoogle Scholar Author, Article, and Disclosure InformationAffiliations: From The George Washington University, Washington, DC 20052.Disclosures: None disclosed. Forms may be viewed at www.acponline.org/authors/icmje/ConflictOfInterestForms.do?msNum=M10-2336.Corresponding Author: Michael E. Whitcomb, MD, 526 Sixth Street, Annapolis, MD 21403; e-mail, [email protected]com. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetailsSee AlsoCompetency-Based Education and Training in Internal Medicine Steven E. Weinberger , Anne G. Pereira , William F. Iobst , Alex J. Mechaber , Michael S. Bronze , and Internal Medicine Residency Redesign Steven E. Weinberger , Anne G. Pereira , William F. Iobst , Alex J. Mechaber , and Michael S. Bronze Metrics Cited byIs Nephrology Fellowship Training on the Right Track?Preparing Physicians with Optimal Processes and Process Improvement SkillsInternal Medicine Residency RedesignSteven E. Weinberger, MD, Anne G. Pereira, MD, MPH, William F. Iobst, MD, Alex J. Mechaber, MD, and Michael S. Bronze, MD 7 December 2010Volume 153, Issue 11Page: 759-760KeywordsAcademic medicineConflicts of interestForecastingGraduate medical educationMedical educationPatientsResidency ePublished: 7 December 2010 Issue Published: 7 December 2010 Copyright & PermissionsCopyright © 2010 by American College of Physicians. 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