| Major concerns about internal medicine: insights from program directors. | |
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MedLine Citation:
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PMID: 21206422 Owner: NLM Status: In-Data-Review |
Abstract/OtherAbstract:
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OBJECTIVE: : To better understand and characterize the challenges facing internal medicine from the perspective of internal medicine residency program directors. METHODS: : In 2007, internal medicine program directors were surveyed by the Association of Program Directors in Internal Medicine (APDIM). An open-ended question asked: "What are your major concerns regarding internal medicine?" Responses to this question were independently coded by two investigators and compared for agreement. Content analysis identified several major themes related to their concerns. RESULTS: : Of the 236 program directors completing the survey, 186 (79%) answered the question and explained their concerns. Approximately one half of the informants were general internists. There was a fairly even distribution among assistant, associate, and professor ranking. All regions of the country were represented. Five themes emerged as the program directors' major concerns about internal medicine: waning interest in internal medicine, especially primary care; onerous regulatory oversight; economic pressures; the eighty-hour work week; and fragmentation within internal medicine. CONCLUSION: : By virtue of their role, internal medicine residency directors gain a unique understanding about the core elements that contribute to declining interest in careers in internal medicine, which is particularly relevant given the current primary care workforce crisis. Collaboration among stakeholders that can influence healthcare policy to address these concerns about internal medicine will be necessary to revive interest in the field. |
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Authors:
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Janet Record; Brent Beasley; Furman S McDonald; Scott Wright |
Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Southern medical journal Volume: 104 ISSN: 1541-8243 ISO Abbreviation: South. Med. J. Publication Date: 2011 Feb |
Date Detail:
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Created Date: 2011-01-24 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 0404522 Medline TA: South Med J Country: United States |
Other Details:
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Languages: eng Pagination: 89-94 Citation Subset: AIM; IM |
Affiliation:
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From the Division of Hospital Medicine, Johns Hopkins Bayview Medical Center, Johns Hopkins University School of Medicine, Baltimore, MD; University of Missouri-Kansas City, Kansas City, MO; Division of General Internal Medicine-Hospital Internal Medicine, Mayo Clinic, Rochester, MN; and Division of General Internal Medicine, Johns Hopkins Bayview Medical Center, Johns Hopkins University School of Medicine, Baltimore, MD. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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