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Changing the curriculum for internal medicine residency training
1Merck Human Health Division, Merck and Company, Inc., Rahway, NJ.
Annals of Internal Medicine
|June 15, 1992
Summary
Internal medicine residency training curricula require updates due to socioeconomic shifts impacting patient care and physician career choices. Proposed changes aim to redefine training for primary care roles and research, ensuring future physician needs are met.
Area of Science:
- Medical Education
- Internal Medicine
- Healthcare Policy
Background:
- Socioeconomic shifts necessitate curriculum reform in internal medicine residency.
- Decreased hospital stays and emphasis on outpatient care impact training needs.
- Declining interest in internal medicine careers among US medical graduates requires attention.
Purpose of the Study:
- To address fundamental changes in internal medicine residency curriculum.
- To redefine the roles and training of general internists and subspecialists in primary care.
- To ensure an adequate supply of physician-scientists for future research.
Main Methods:
- Analysis of socioeconomic trends influencing medical practice.
- Re-evaluation of training paradigms for different internist roles.
- Development of a prospective evaluation system for curriculum changes.
Main Results:
- Curriculum changes must clarify roles for primary care and subspecialty physicians.
- Training must adapt to evolving healthcare delivery models.
- A robust evaluation system is crucial for assessing and correcting curriculum impacts.
Conclusions:
- Curriculum reform is essential for internal medicine to adapt to contemporary healthcare challenges.
- Changes should address training for primary care, subspecialties, research, and international medical graduates.
- Prospective evaluation is vital for successful curriculum implementation and improvement.

