Clifton R. Cleaveland, MD
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Cleaveland CR. The Future of Primary Care. Ann Intern Med. 2004;140:69. doi: 10.7326/0003-4819-140-1-200401060-00024
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Published: Ann Intern Med. 2004;140(1):69.
TO THE EDITOR:
The supplement on The Future of Primary Care would have been strengthened by more participation from general internists who practice daily in the trenches. I do not know if we can endure until the laudable recommendations of the writers can be effected. We survive only by being able to see more and more patients in our workday. These patients are amazing in their complexity. I doubt that their care could be relegated to nonphysicians.
I recommend the following near-future strategies for helping general internists: 1) All subspecialty societies of medicine should pledge their active support for improved pay for their primary care colleagues; 2) the American College of Physicians should seek a signed pledge from chairs of internal medicine that they will aggressively promote careers in internal medicine; 3) the College should establish and support an ongoing task force that includes practicing, general internists to address the crisis in primary care; and 4) medical schools and training programs need to raise the visibility of primary care physicians by formally recognizing their achievements.
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Print ISSN: 0003-4819 | Online ISSN: 1539-3704
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