Internal Medicine Curriculum Reform
Authors: Jason E. McClellan, C. Patrick Laughlin
Journal: Annals of Internal Medicine (1992)

Letters1 December 1992Internal Medicine Curriculum ReformJason E. McClellan, MD, C. Patrick Laughlin, MDJason E. McClellan, MDSearch for more papers by this author, C. Patrick Laughlin, MDSearch for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-117-11-973_2 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptTo the Editors: The supplement, Internal Medicine Curriculum Reform (1), addresses the need to change the training of general internists and to attract the best and the brightest back to the most efficient, cost-effective way to manage adult health problems.However, there was too little discussion regarding the income of generalists compared with procedure-oriented subspecialists in internal medicine. Altruism may lead bright young people into medicine and may sustain them for a time in practice; however, as family needs and quality of life issues intrude, the gross discrepancies between incomes of procedure-oriented physicians and cognitive specialists become too obvious. To...References1. InuiNolan TJ; eds. Internal medicine curriculum reform. Ann Intern Med. 1992;116:1041-115. Google Scholar2. Petersdorf R. Primary care applicants—they get no respect. N Engl J Med. 1992;326:408-9. CrossrefMedlineGoogle Scholar3. KarpfLevey MG. Training primary care physicians. Ann Intern Med. 1992;116:514-5. LinkGoogle Scholar4. Sulmasy D. Physicians, cost control, and ethics. Ann Intern Med. 1992;116:920-6. LinkGoogle Scholar5. DaviesFelder NL. Applying brakes to the runaway American health care system. JAMA. 1990;263:73-6. CrossrefMedlineGoogle Scholar1. PrashkerMeenan MR. Subspecialty training: is it financially worthwhile? Ann Intern Med. 1991;115:715-9. LinkGoogle Scholar1. InuiNolan TJ; eds. Internal medicine curriculum reform. Ann Intern Med. 1992;116:1041-115. Google Scholar1. Simpson M. Doctor-patient communication: the Toronto consensus statement. Br Med J. 1991;303:1385-7. CrossrefMedlineGoogle Scholar2. RegierGoldbergTaube DIC. The de facto US mental health services system: a public health perspective. Arch Gen Psychiatry. 1978;35:685-93. CrossrefMedlineGoogle Scholar3. BeckmanFrankel HR. The effect of physician behavior on the collection of data. Ann Intern Med. 1984;101:692-6. LinkGoogle Scholar4. PlattMcMath FJ. Clinical hypocompetence: the interview. Ann Intern Med. 1979;91:898-902. LinkGoogle Scholar5. LipkinQuillNapodano MTR. The medical interview: a core curriculum for residencies in internal medicine. Ann Intern Med. 1984;100:277-84. LinkGoogle Scholar6. Williamson P. The medical interview and psychosocial aspects of medicine: block curricula for residents. J Gen Intern Med. 1992;7:235-42. CrossrefMedlineGoogle Scholar1. Dale D. Alumni surveys for evaluation of innovations in medical education. J Gen Intern Med. 1991;6:587. CrossrefMedlineGoogle Scholar2. Feinstein A. The problems of the "problem-oriented record." Ann Intern Med. 1973;78:751-62. LinkGoogle Scholar3. KosecoffFinkBrookDavies JARA. General medical care and the education of internists in university hospitals. Ann Intern Med. 1985;102:250-7. LinkGoogle Scholar4. LeeNugent DG. Costs associated with ambulatory care and education. Acad Med. 1989;64:S44-50. CrossrefMedlineGoogle Scholar5. NardoneWebb DD. Administration in ambulatory care. Acad Med. 1989;64:S28-34. CrossrefMedlineGoogle Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAffiliations: Riverside Hospital Newport News, VA 23601 PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics 1 December 1992Volume 117, Issue 11Page: 973-975KeywordsQuality of lifeSub-specialty care Issue Published: 1 December 1992 PDF downloadLoading ...