William E. Golden, MD
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Golden WE. Training Generalists To Do Procedures. Ann Intern Med. 1993;119:94-95. doi: 10.7326/0003-4819-119-1-199307010-00027
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Published: Ann Intern Med. 1993;119(1):94-95.
TO THE EDITOR:
In the exchange of letters concerning curriculum reform in internal medicine , the editors of the supplement  chose to rebuff the proposal that generalists be trained in procedures, saying it would only work where specialists are in short supply. Such thinking underscores and reinforces the second-class citizenship of generalists in the internal medicine community.
For years, departments of internal medicine have given away the core competencies of the general internist to the subspecialty divisions. The basic curriculum has few explicit expectations of the 3-year trainee. Recently, I visited another medical school and was shocked to hear the chairman state that generalists were not competent to manage diabetes. When I asked him what generalists were trained to do during their 3 years of residency, he responded Not much. Is it any wonder then that people do not choose careers as generalists when they can choose other residency programs where leaders expect competency at completion of training?
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Print ISSN: 0003-4819 | Online ISSN: 1539-3704
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