Redesigning Training for Internal Medicine
Authors: Steven E. Weinberger, Lawrence G. Smith, Virginia U. Collier
Journal: Annals of Internal Medicine (2006)

Letters5 December 2006Redesigning Training for Internal MedicineSteven E. Weinberger, MD, Lawrence G. Smith, MD, and Virginia U. Collier, MDSteven E. Weinberger, MDFrom American College of Physicians, Philadelphia, Pennsylvania.Search for more papers by this author, Lawrence G. Smith, MDFrom American College of Physicians, Philadelphia, Pennsylvania.Search for more papers by this author, and Virginia U. Collier, MDFrom American College of Physicians, Philadelphia, Pennsylvania.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-145-11-200612050-00019 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail IN RESPONSE: We agree with Dr. Mansi that the model of internists serving as “traffic directors” not only is unattractive to physicians but also delivers suboptimal care to patients. Appropriate procedural training is an important component of residency. Difficulty in assuring that each resident receives sufficient experience to achieve competency and the widely differing needs of residents have contributed to a lack of agreement about what procedures should be required (1, 2). We favor a model in which procedures fall into 3 categories: 1) those that are required of all residents, 2) those that should be available and are encouraged ...References1. Wigton RS, Blank LL, Nicolas JA, Tape TG. Procedural skills training in internal medicine residencies. A survey of program directors. Ann Intern Med. 1989;111:932-8. [PMID: 2817641] LinkGoogle Scholar2. Fincher RM. Procedural competence of internal medicine residents: time to address the gap [Editorial]. J Gen Intern Med. 2000;15:432-3. [PMID: 10886480] CrossrefMedlineGoogle Scholar3. Fitzgibbons JP, Bordley DR, Berkowitz LR, Miller BW, Henderson MC. 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 Scholar4. Schroeder SA, Sox HC. Internal medicine training: putt or get off the green [Editorial]. Ann Intern Med. 2006;144:938-9. [PMID: 16785482] LinkGoogle Scholar Author, Article, and Disclosure InformationAuthors: Steven E. Weinberger, MD; Lawrence G. Smith, MD; Virginia U. Collier, MDAffiliations: From American College of Physicians, Philadelphia, Pennsylvania.Disclosures: None disclosed. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetailsSee AlsoRedesigning Training for Internal Medicine Steven E. Weinberger , Lawrence G. Smith , and Virginia U. Collier , for the Education Committee of the American College of Physicians*Redesigning Residency Education in Internal Medicine: A Position Paper from the Association of Program Directors in Internal Medicine John P. Fitzgibbons , Donald R. Bordley , Lee R. Berkowitz , Beth W. Miller , and Mark C. Henderson Internal Medicine Training: Putt or Get Off the Green Steven A. Schroeder and Harold C. Sox Redesigning Training for Internal Medicine Ishak A. Mansi Redesigning Training for Internal Medicine James R. Horning Redesigning Training for Internal Medicine George N. Dalekos , Konstantinos Makaritsis , and Eirini I. Rigopoulou Redesigning Training for Internal Medicine John P. Fitzgibbons and Frederick J. Meyers Metrics Cited byCurrent World Literature 5 December 2006Volume 145, Issue 11Page: 866KeywordsConflicts of interestFallsHealth carePatientsResidency ePublished: 5 December 2006 Issue Published: 5 December 2006 Copyright & PermissionsCopyright © 2006 by American College of Physicians. All Rights Reserved.PDF downloadLoading ...