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Training in a primary care internal medicine residency program. The first ten years
JAMA
|September 18, 1987
Summary
Most University of California, San Francisco, primary care internal medicine residency graduates become general internists. Training adequately prepared them, though more ambulatory care skills were desired for general internal medicine practice.
Area of Science:
- Medical Education
- Primary Care Internal Medicine
- Graduate Medical Training
Background:
- The University of California, San Francisco (UCSF) primary care internal medicine residency program trains physicians for general practice.
- Assessing the adequacy of this training for a career in general internal medicine is crucial.
Purpose of the Study:
- To determine the career choices of UCSF primary care internal medicine residency graduates.
- To evaluate the perceived adequacy and relevance of their training for general internal medicine practice.
Main Methods:
- Surveyed all 49 UCSF primary care internal medicine residency graduates.
- 44 respondents rated 87 content and skill areas using five-point Likert scales.
- Assessed adequacy and relevance of training for current clinical practice.
Main Results:
- 89% of respondents pursued careers as general internists; 11% specialized.
- Training in core internal medicine disciplines was rated highly adequate and relevant.
- Graduates reported unmet needs in non-internal medicine areas, basic skills, and clinical practice areas, indicating training underemphasis.
Conclusions:
- The UCSF program successfully prepares physicians for general internal medicine careers.
- Graduates require enhanced ambulatory care experiences and skills for comprehensive general internal medicine practice.