Changing the Internal Medicine Residency

Excerpt

To the editor: Annals has been generous in contributing educational and scientific data on nutrition and internal medicine. I write to express concern that the proposed changes in internal medicine training would omit nutrition. Schroeder and colleagues ( 1 ) warn that internal medicine residencies risk becoming obsolete if they do not adjust to changing patterns in medical practice. The authors argue primarily for a shift of training from medical wards and intensive care units to outpatient settings and surgical consultations. Indeed, a strong argument is made for changes in the training program.

I was particularly concerned about Table 1,