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Training internists: insights from private practice.

J D McCue

    The American Journal of Medicine
    |September 1, 1981
    PubMed
    Summary
    This summary is machine-generated.

    Internal medicine residency programs should integrate primary care training to equip future physicians with essential skills for patient care. Incorporating feedback from graduates can enhance curricula for private practice success.

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    Area of Science:

    • Medical Education
    • Internal Medicine Training
    • Primary Care Physician Development

    Background:

    • Traditional internal medicine programs focus on academic and research training.
    • A growing majority of internists (over two-thirds) practice primary patient care, often in office-based settings.
    • Current residency curricula may not adequately prepare physicians for the demands of private primary care practice.

    Purpose of the Study:

    • To advocate for the integration of primary care training within university internal medicine residency programs.
    • To identify key skill deficiencies in private practice internists that could be addressed through residency education.
    • To emphasize the importance of graduate feedback in curriculum development.

    Main Methods:

    • Analysis of the current focus of university internal medicine training programs.

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  • Identification of essential skills required for office-based primary care practice.
  • Proposal for incorporating graduate feedback into residency training.

    • Main Results:

    • Internal medicine residency programs traditionally emphasize academic and research pathways.
    • Primary care physicians frequently require additional training in clinical problem-solving, patient negotiation, psychiatric techniques, medical ethics, cost-effectiveness, and practice management.
    • Graduate feedback is a valuable, yet underutilized, resource for curriculum improvement.

    Conclusions:

    • Internal medicine residency training must evolve to include comprehensive primary care skill development for all residents.
    • Divisions of general internal medicine should actively solicit and integrate feedback from private practice graduates to refine educational objectives.
    • Enhancing residency curricula will better prepare internists for the realities of contemporary primary patient care.