Internal Medicine at the Crossroads: Training Subspecialists for the Next Century
Authors: Jonathan P. Weiner
Journal: Annals of Internal Medicine (1996)

Editorials1 April 1996Internal Medicine at the Crossroads: Training Subspecialists for the Next CenturyJonathan P. Weiner, DrPHJonathan P. Weiner, DrPHJohns Hopkins School of Public Health Baltimore, MD 21205Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-124-7-199604010-00009 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail In this issue, Langdon and her colleagues from the American Board of Internal Medicine's Task Force on Subspecialty Internal Medicine [1] offer 11 provocative recommendations whose ultimate goal is no less than to transform the current infrastructure of internal medicine subspecialty training. The time is right for this, not only because the new millennium approaches, but also because our graduate medical education system has, with time, become greatly misaligned with the needs of Americans [2-4]. Moreover, the health care system for which most medical subspecialists have been trained—and are still being trained—no longer exists. The changes in fellowship education suggested ...References1. Langdon LO, Toskes PP, Kimball HR, and the American Board of Internal Medicine Task Force on Subspecialty Internal Medicine. Future roles and training of internal medicine subspecialists. Ann Intern Med. 1996; 124:686-91. Google Scholar2. The Pew Health Professions Commission. Critical Challenges: Revitalizing the Health Professions for the Twenty-First Century. San Francisco: December 1995. Google Scholar3. The Institute of Medicine of the National Academy of Science. The Nation's Workforce: Options for Balancing Supply and Requirements. Washington, DC: January 1996. Google Scholar4. Schroeder SA, Sandy LG. Specialty distribution of U.S. physicians—the invisible driver of health care costs [Editorial]. N Engl J Med. 1993; 328:961-3. Google Scholar5. Weiner J. Forecasting the effects of health reform on US physician workforce requirement: evidence from HMO staffing patterns. JAMA. 1994; 272:222-30. Google Scholar6. Weiner J, McLaughlin C, Gamliel S. Extrapolating HMO staffing to the population at-large. In: Osterweis M, McLaughlin C, Manasse H, Hopper C, eds. The US Health Workforce: Power, Politics and Policy. Washington, DC: Association of Academic Health Centers; 1996. Google Scholar7. Council on Graduate Medical Education. Seventh Report on the Physician Workforce: Recommendations for the DHHS. Rockville, MD: U.S. Departmen: of Health and Human Services; 1995. Google Scholar8. Kassirer JP. Access to specialty care [Editorial]. N Engl J Med. 1994; 331:1151-3. Google Scholar9. The American Society of Internal Medicine. Patient Access to Internist-Subspecialists in Gatekeeper Health Plans. Washington, DC: American Society of Internal Medicine; 1995. Google Scholar Author, Article, and Disclosure InformationAffiliations: Johns Hopkins School of Public Health Baltimore, MD 21205Corresponding Author: Jonathan P. Weiner, DrPH, Johns Hopkins University, 624 North Broadway, Room 605, Baltimore, MD 21205-1901. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetailsSee AlsoFuture Roles and Training of Internal Medicine Subspecialists Lynn O. Langdon , Phillip P. Toskes , Harry R. M. Kimball , and Metrics Cited ByThe Workforce in Otolaryngology-Head and Neck Surgery: Moving into the Next MillenniumThe Cost and Efficiency of Hospital Care Provided by Primary Care Physicians and Medical SubspecialistsDepartments of internal medicine: Upright or supine? 1 April 1996Volume 124, Issue 7Page: 681-682KeywordsFellowshipsForecastingGraduate medical educationHealth careMedical educationPublic policyQuality of lifeResidencyScientistsSub-specialty care Issue Published: 1 April 1996 CopyrightCopyright © 1996 by American College of Physicians. All Rights Reserved.PDF DownloadLoading ...