MICHAEL A. LACOMBE, M.D.
To the editor: Two articles in the July issue illustrate the ever-increasing gulf between academic medicine and the practice of general internists. Both articles, seemingly directed at the practicing internist, deserve comment from a country doctor.
Dr. Maynard's (1) apt remark that the Advanced Achievement in Internal Medicine examination will be "the last gasp of volunteerism" is right on the mark. Internists are no longer offered recertification; indeed, they have never been required to be recertified. This obtains because insufficient numbers of general internists took the examinations and because, presumably, subspecialists felt inadequately prepared to do so. We are now
LACOMBE MA. Examinations and the Medical Literature. Ann Intern Med. ;105:634. doi: 10.7326/0003-4819-105-4-634_1
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Published: Ann Intern Med. 1986;105(4):634.
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