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Internal medicine: a troubled but still great specialty

S A Schroeder1

  • 1Robert Wood Johnson Foundation.

The Internist
|June 8, 1991
PubMed

Insights

Internal medicine physicians face challenges like lifestyle demands and administrative burdens. Addressing these issues can enhance career satisfaction in the specialty.

Area of Science:

  • Internal Medicine
  • Medical Practice Management

Background:

  • Physicians in internal medicine report significant challenges impacting their professional lives.
  • Commonly cited issues include lifestyle demands, patient interactions, administrative burdens, and financial concerns.

Purpose of the Study:

  • To identify key challenges faced by internists.
  • To explore potential strategies for improving the rewarding aspects of internal medicine.

Main Methods:

  • Qualitative analysis of physician-reported issues.
  • Exploration of potential solutions and improvements.

Main Results:

  • Internists frequently cite lifestyle factors, patient complexity, administrative "hassle factor," and the "gatekeeper" role as major problems.
  • Income and practice management issues also contribute to dissatisfaction.

Conclusions:

  • While challenges are substantial, targeted solutions can make internal medicine a more fulfilling career.
  • Improving practice environments and addressing systemic issues are crucial for physician well-being.

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