Consultant perception of general internal medicine: a survey of consultant physicians

Area of Science:

• Internal Medicine
• Healthcare Workforce Development

Background:

• The NHS faces increasing demands from aging populations with complex health needs.
• General internal medicine (GIM) is crucial but lacks a clear definition and understanding of physician roles.
• The Future Hospital Commission emphasizes the need for enhanced general medical skills.

Purpose of the Study:

• To explore current physician perceptions and practices of general internal medicine (GIM).
• To investigate physician views on training requirements for GIM.
• To address the ambiguity surrounding the concept and practice of generalism in medicine.

Main Methods:

• A survey was conducted among physicians to gather data on their practice of GIM.
• The survey assessed perceptions of GIM roles across different specialties.
• Physicians' views on GIM training were collected.

Main Results:

• Perceptions and practice of GIM significantly vary among physician specialties.
• GIM practice extends beyond initial patient assessment to include ongoing management within specialty teams.
• The scope of GIM encompasses inpatient, outpatient, and acute care settings.

Conclusions:

• GIM practice is diverse and specialty-dependent, requiring a nuanced understanding.
• Training in GIM must adapt to the varied roles and settings where general medical skills are applied.
• Clarifying the physician's role in GIM is essential for meeting evolving healthcare demands.