The Declining Number and Variety of Procedures Done by General Internists
Authors: Robert S. Wigton, Patrick Alguire
Journal: Annals of Internal Medicine (2007)

Letters4 December 2007The Declining Number and Variety of Procedures Done by General InternistsRobert S. Wigton, MD and Patrick Alguire, MDRobert S. Wigton, MDFrom the University of Nebraska Medical Center College of Medicine, Omaha, NE 68198-4285, and the American College of Physicians, Philadelphia, PA 19106.Search for more papers by this author and Patrick Alguire, MDFrom the University of Nebraska Medical Center College of Medicine, Omaha, NE 68198-4285, and the American College of Physicians, Philadelphia, PA 19106.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-147-11-200712040-00023 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail IN RESPONSE:We appreciate the interest in our study and are pleased that it has generated discussion about internists' procedural skills. Drs. Farnan and Arora are concerned that the change in the ABIM requirements doesn't consider the need for residents to perform procedures competently and safely during training. Resident credentialing is a process for certifying residents who can do procedures independently while in training. Gabryel and Brierley (1) reviewed this topic and described its use in hospitals in New York State. The competency of residents in procedural skills remains an important issue even though Medicare requirements for direct supervision have ...References1. Gabryel TF, Brierley MA. Credentialing protocols used by internal medicine residency programs in New York State. Acad Med. 1990;65:769-71. [PMID: 2252496] CrossrefMedlineGoogle Scholar2. Bodenheimer T, Berenson RA, Rudolf P. The primary care-specialty income gap: why it matters. Ann Intern Med. 2007;146:301-6. [PMID: 17310054] LinkGoogle Scholar3. Card SE, Snell L, O'Brien B. Are Canadian General Internal Medicine training program graduates well prepared for their future careers? BMC Med Educ. 2006;6:56. [PMID: 17112385] CrossrefMedlineGoogle Scholar4. Wigton RS, Nicolas JA, Blank LL. Procedural skills of the general internist. A survey of 2500 physicians. Ann Intern Med. 1989;111:1023-34. [PMID: 2596769] LinkGoogle Scholar Author, Article, and Disclosure InformationAffiliations: From the University of Nebraska Medical Center College of Medicine, Omaha, NE 68198-4285, and the American College of Physicians, Philadelphia, PA 19106.Disclosures:Royalties: R.S. Wigton (Elsevier, Inc.). PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetailsSee AlsoThe Primary Care–Specialty Income Gap: Why It Matters Thomas Bodenheimer , Robert A. Berenson , and Paul Rudolf The Declining Number and Variety of Procedures Done by General Internists: A Resurvey of Members of the American College of Physicians Robert S. Wigton and Patrick Alguire The Declining Number and Variety of Procedures Done by General Internists Jeanne M. Farnan and Vineet M. Arora The Declining Number and Variety of Procedures Done by General Internists Join Y. Luh and Bernard M. Karnath The Declining Number and Variety of Procedures Done by General Internists Michael A. LaCombe The Declining Number and Variety of Procedures Done by General Internists Thomas S. Metkus Metrics 4 December 2007Volume 147, Issue 11Page: 815-816KeywordsConflicts of interestEmergency medicineFellowshipsGraduate medical educationMedicareResidency ePublished: 4 December 2007 Issue Published: 4 December 2007 Copyright & PermissionsCopyright © 2007 by American College of Physicians. All Rights Reserved.PDF downloadLoading ...