The Declining Number and Variety of Procedures Done by General Internists

  1. Jeanne M. Farnan, MD; and
  2. Vineet M. Arora, MD, MA
  1. From University of Chicago, Chicago, IL 60637.

    TO THE EDITOR:

    We commend Wigton and Alguire (1) for their impressive and thought-provoking work. Although their findings certainly signify the evolution of the practice of general internists, the authors' conclusion that “recommendations and practices for internal medicine residency training in procedures should be reexamined in light of these changes” fuels our growing concerns about procedural training in internal medicine residency. Previously, internal medicine residents were required to demonstrate proficiency in 15 common procedures (for example, central-line placement, lumbar puncture, …

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    1. Ann Intern Med December 4, 2007 vol. 147 no. 11 814
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