Edward J. Volpintesta, MD
Potential Financial Conflicts of Interest: None disclosed.
Volpintesta EJ. Tailoring to the Needs of One's Practice: It's about Time. Ann Intern Med. 2007;147:592. doi: 10.7326/0003-4819-147-8-200710160-00019
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Published: Ann Intern Med. 2007;147(8):592.
TO THE EDITOR:
Perhaps the most important statement made by Duffy and Holmboe in their editorial on which procedures internists should do was the one about “tailoring procedural skills to the needs of one's clinical practice setting” (1).
This concept is long overdue. It applies not just to procedural skills, but also to the recertification process—not just for internal medicine, but for family practice as well.
Why? It is almost a truism that the scope of knowledge and skills of practicing, nonacademic generalists, who have been in practice for many years, become narrowed because they limit their practices in some way. Either they use hospitalists for their hospital patients, or they don't feel comfortable treating certain diseases or because there are many specialists in the community who are better qualified.
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Print ISSN: 0003-4819 | Online ISSN: 1539-3704
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