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Do we still need primary care tracks?

W Burke¹, T S Inui

¹University of Washington, Seattle.

Annals of Internal Medicine

|June 15, 1992

Summary

This summary is machine-generated.

Primary care tracks effectively train internists in ambulatory settings, increasing general internal medicine careers. Revisions can enhance training for all residents, improving primary care physician supply.

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Area of Science:

Medical Education
Internal Medicine
Primary Care Physician Training

Background:

Primary care tracks in internal medicine residency were established in the late 1970s to address a shortage of primary care physicians.
These programs demonstrated the efficacy of training internists in ambulatory care settings.

Purpose of the Study:

To evaluate the impact of primary care tracks on physician career choices and academic general internal medicine.
To propose improvements and expanded ambulatory training opportunities for all internal medicine residents.

Main Methods:

Analysis of graduate career paths from primary care tracks versus traditional internal medicine tracks.
Review of the growth of academic general internal medicine and the scientific basis of ambulatory care.

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Main Results:

Graduates of primary care tracks are more likely to pursue careers in general internal medicine.
Primary care training has contributed to the expansion of academic general internal medicine divisions and ambulatory care research.

Conclusions:

Expanded ambulatory training, modeled on primary care tracks, should be offered to all internal medicine residents.
Revising primary care tracks to focus on ambulatory settings, community health, and social determinants is crucial for future reform.