Redesigning Residency Education in Internal Medicine: A Position Paper from the Association of Program Directors in Internal Medicine
- John P. Fitzgibbons, MD;
- Donald R. Bordley, MD;
- Lee R. Berkowitz, MD;
- Beth W. Miller, MD; and
- Mark C. Henderson, MD
Abstract
There has been considerable change in the practice of internal medicine in the past quarter century, including the rise of specialization, increasing time pressure, the hospitalist movement, and the rapidly changing responsibilities of internists in inpatient and outpatient settings. Training programs have not adequately responded to these trends, and there is a consensus that the residency education system urgently needs redesign.
Article and Author Information
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Grant Support: Dr. Henderson receives grant support from the U.S. Department of Health and Human Services, Health Resources and Services Administration (D58HP05139).
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Potential Financial Conflicts of Interest: None disclosed.
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Requests for Single Reprints: John P. Fitzgibbons, MD, Department of Medicine, Lehigh Valley Hospital, PO Box 689, Allentown, PA 18105; e-mail, John.fitzgibbons{at}lvh.com.
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Current Author Addresses: Dr. Fitzgibbons: Department of Medicine, Lehigh Valley Hospital, PO Box 689, Allentown, PA 18105.
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Dr. Bordley: Department of Medicine, University of Rochester School of Medicine & Dentistry, 601 Elmwood Avenue, Box MED, Rochester, NY 14642.
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Dr. Berkowitz: Department of Medicine, University of North Carolina School of Medicine, 3018 Old Clinic Building, CB #7005, Chapel Hill, NC 27599-7005.
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Dr. Miller: Department of Medicine, University of Texas Medical Branch—Austin, 601 East 15th Street, Austin, TX 78701.
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Dr. Henderson: Department of Internal Medicine, University of California, Davis, School of Medicine, 4150 V Street #3100, Sacramento, CA 95817.
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