TRAINING OF THE INTERNIST - WITH SOME MESSAGES FROM PRACTICE

被引:26
作者
BARONDESS, JA
机构
[1] NEW YORK HOSP, NEW YORK, NY 10021 USA
[2] CORNELL UNIV, COLL MED, NEW YORK, NY 10021 USA
关键词
D O I
10.7326/0003-4819-90-3-412
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Efforts to provide an increased focus on the primary care activities of internists have been characterized by some as requiring a substantial increase in experience with ambulatory patients and significant training time invested in office gynecology, office orthopedics, otorhinolaryngology, and dermatology. These changes have been recommended as more reflective of the 'real world' of the internist's practice than intensive experience with seriously ill inpatients. It is argued that such skills in training threaten to reduce clinical scope and deep competence and will thereby reduce rather than enhance effectiveness in the care of ambulatory patients. Deep clinical competence should be the hallmark of the internist, and training programs in internal medicine should be designed to produce this type of physician. In addition, consultant-level general internists should be trained for consultative, teaching and investigative responsibilities and would be powerful role models for trainees.
引用
收藏
页码:412 / 417
页数:6
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