Jason E. McClellan, MD; C. Patrick Laughlin, MD
To the Editors: The supplement, Internal Medicine Curriculum Reform (1), addresses the need to change the training of general internists and to attract the best and the brightest back to the most efficient, cost-effective way to manage adult health problems.
However, there was too little discussion regarding the income of generalists compared with procedure-oriented subspecialists in internal medicine. Altruism may lead bright young people into medicine and may sustain them for a time in practice; however, as family needs and quality of life issues intrude, the gross discrepancies between incomes of procedure-oriented physicians and cognitive specialists become too obvious. To
McClellan JE, Laughlin CP. Internal Medicine Curriculum Reform. Ann Intern Med. ;117:973–975. doi: 10.7326/0003-4819-117-11-973_2
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Published: Ann Intern Med. 1992;117(11):973-975.
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