David A. Asch, MD, MBA; Jack Ende, MD
▪ A variety of forces are converging to reduce the number of internal medicine residency positions offered in this country. This reduction, referred to as downsizing, has been proposed as the solution to several of the problems facing internal medicine. We examine the forces that underlie the current enthusiasm for downsizing; we consider the alternative strategies by which downsizing might be implemented; and we consider the implications of these alternatives on different groups of stakeholders. Although downsizing may represent a legitimate approach to real problems, any mechanism to reduce the number of training positions in internal medicine will have broad implications for medical education and patient care well into the next century. Special efforts must be taken to ensure that downsizing will not exacerbate the existing problems of overspecialization and limited access to care.
Learn more about subscription options.
Register Now for a free account.
Asch DA, Ende J. The Downsizing of Internal Medicine Residency Programs. Ann Intern Med. 1992;117:839–844. doi: 10.7326/0003-4819-117-10-839
Download citation file:
Published: Ann Intern Med. 1992;117(10):839-844.
Education and Training.
Results provided by:
Copyright © 2017 American College of Physicians. All Rights Reserved.
Print ISSN: 0003-4819 | Online ISSN: 1539-3704
Conditions of Use
This PDF is available to Subscribers Only