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Redesigning Training for Internal Medicine
- Steven E. Weinberger, MD;
- Lawrence G. Smith, MD; and
- Virginia U. Collier, MD
- From American College of Physicians, Philadelphia, Pennsylvania.
IN RESPONSE:
We agree with Dr. Mansi that the model of internists serving as “traffic directors” not only is unattractive to physicians but also delivers suboptimal care to patients. Appropriate procedural training is an important component of residency. Difficulty in assuring that each resident receives sufficient experience to achieve competency and the widely differing needs of residents have contributed to a lack of agreement about what procedures should be required (1, 2). We favor a model in which procedures fall into 3 …
