Mark D. Schwartz, MD; William T. Basco, MD; Michael R. Grey, MD, MPH; Joann G. Elmore, MD, MPH; Arthur Rubenstein, MBBCh
Schwartz MD, Basco WT, Grey MR, Elmore JG, Rubenstein A. Rekindling Student Interest in Generalist Careers. Ann Intern Med. 2005;142:715-724. doi: 10.7326/0003-4819-142-8-200504190-00040
Download citation file:
Published: Ann Intern Med. 2005;142(8):715-724.
Rekindle: from Old Norse, kynda, to start (a fire) burning; to stir up, arouse, to cause to glow, or illuminate; and from Middle English, to bring forth young (1).
The In the Clinic® slide sets are owned and copyrighted by the American College of Physicians (ACP). All text, graphics, trademarks, and other intellectual property incorporated into the slide sets remain the sole and exclusive property of the ACP. The slide sets may be used only by the person who downloads or purchases them and only for the purpose of presenting them during not-for-profit educational activities. Users may incorporate the entire slide set or selected individual slides into their own teaching presentations but may not alter the content of the slides in any way or remove the ACP copyright notice. Users may make print copies for use as hand-outs for the audience the user is personally addressing but may not otherwise reproduce or distribute the slides by any means or media, including but not limited to sending them as e-mail attachments, posting them on Internet or Intranet sites, publishing them in meeting proceedings, or making them available for sale or distribution in any unauthorized form, without the express written permission of the ACP. Unauthorized use of the In the Clinic slide sets will constitute copyright infringement.
Advocate Lutheran General Hospital
May 14, 2005
Employ the Invisible Hand
Schwartz et al offer many constructive suggestions to stimulate medical student interest in generalist careers. However, I offer an additional idea. Mobilize the invisible hand of Adam Smith toward elevating internal medicine, pediatrics, and family medicine on students' ranking lists for the matching program. Simply increase the salary for residents in these specialties. Free market economics uses price changes to signal variations in supply and demand. There is no real justification for the tradition of paying residents equally, regardless of specialty.
Loan forgiveness programs are also desirable, but the reward comes too far into the future. Also, the signaling effect of a significant variation in resident salaries among the specialties should not be underestimated.
Education and Training.
Results provided by:
Copyright © 2016 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