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National Study of Internal Medicine Manpower: XIX. Trends in Internal Medicine Residency Training Programs
- Ronald M. Andersen, PhD;
- Christopher S. Lyttle, MA;
- Claire H. Kohrman, PhD;
- Gerald S. Levey, MD; and
- Mary Margaret Clements, MFA
Abstract
▪ The National Study of Internal Medicine Manpower (NaSIMM) reports on the results of its 1989-1990 census of residency programs. The results are integrated into an organizational model identifying inputs, process, outputs, and environment of medical training programs. The number of residents entering internal medicine continues to grow at a relatively rapid pace. This growth is largely accounted for by foreign citizens who are graduates of foreign medical schools (AFMGs). Residents are spending an increasing proportion of their time in ambulatory care settings, but, thus far, this ambulatory care training has occurred primarily in hospital clinics and emergency rooms. The proportion of a program's residents entering general internal medicine was found in a multiple regression analysis to be negatively associated with the number of subspecialty programs located in the training hospital, the percent of AFMG residents in the program, and the presence of a preliminary track in the program.
Article and Author Information
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From the University of California, Los Angeles, California; University of Chicago, Chicago, Illinois; and Merck and Company, Inc., Rahway, New Jersey. For current author addresses, see end of text.
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Grant Support: In part by the American Board of Internal Medicine, the American College of Physicians, the Association of Professors of Medicine, the Association of Program Directors in Internal Medicine, the Henry J. Kaiser Family Foundation, and the Richard King Mellon Foundation.
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Requests for Reprints: Christopher S. Lyttle, MA, Center for Health Administration Studies, 969 East 60th Street, Chicago, IL 60637.
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Current Author Addresses: Dr. Andersen: Department of Health Services, School of Public Health, UCLA, 10833 Le Conte Avenue, Los Angeles, CA 90024-1772.
Mr. Lyttle, Dr. Kohrman, and Ms. Clements: Center for Health Administration Studies, 969 East 60th Street, Chicago, IL 60637.
Dr. Levey: Medical and Scientific Affairs, P.O. Box 2000, R33-73, Merck and Company, Inc., Rahway, NJ 07065.
- © 1992 American College of Physicians
