MILFORD FULOP, M.D.
FULOP M. Fellowships: A Modest Proposal. Ann Intern Med. 1986;105:808-809. doi: 10.7326/0003-4819-105-5-808_2
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Published: Ann Intern Med. 1986;105(5):808-809.
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To the editor: Training in internal medicine is in transition. Patients and payers want more general physicians, but we are still training too many subspecialists. Teaching hospitals need clinical fellows to provide some sophisticated services and to teach; however, the number of applicants who are seeking fellowships is not increasing, and the number who are truly interested in academic careers emphasizing research is probably decreasing. At the same time, there are pressures to decrease the number of fellows being trained in order to decrease the number of subspecialists in practice. Attempts to meet those decreases by limiting the access of
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