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Making It Possible for General Internal Medicine To Survive
I have practiced for almost 4 decades as a small-town cardiologist who has also provided principal or primary care. In this issue, Larson and the Society of General Internal Medicine (SGIM) Task Force on the Domain of General Internal Medicine got it right (1). They outline a future mission that reaffirms the fundamental strength of internal medicine: breadth and depth. They recognize the potential for teams of clinicians to improve patient care. They highlight the importance of a reimbursement system that rewards high-quality care and good outcomes.
Our already overworked and under-reimbursed training programs and physician practices cannot meet the cost of these necessary changes without payment reform. From my perspective, payment reform includes …
