Grand Cru versus Generic: Different Approaches to Altering the Ratio of General Internists to Subspecialists

Abstract

In the last decade internal medicine has become a less popular career choice among medical school graduates. In addition, there has been an increase in the percentage of internal medicine residents choosing subspecialty training. The factors that have led to the change in the ratio of subspecialists to general internists are discussed, and a plan is proposed that would make the practice of general internal medicine more attractive and reduce the number of subspecialty training positions in the United States.

Article and Author Information

  • From the University of Texas Health Science Center, San Antonio, Texas. For the current author address, see end of text.

  • Requests for Reprints: Jay H. Stein, MD, Department of Medicine, the University Health Science Center at San Antonio, 7703 Floyd Curl Drive, San Antonio, TX 78284-7870.

  • Current Author Address: Dr. Stein: Department of Medicine, the University Health Science Center at San Antonio, 7703 Floyd Curl Drive, San Antonio, TX 78284-7870.

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