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Academia and the Profession |

The Effect of a Primary-Care Pathway on Internal Medicine Residents' Career Plans

DON L. GOLDENBERG, M.D.; JANET T. POZEN, Ph.D.; and ALAN S. COHEN, M.D.
[+] Article and Author Information

Grant support: Grant 2148 from the Robert Wood Johnson Foundation and Grant 1-D28-PE11066 from the National Institutes of Health.

▸Requests for reprints should be addressed to Don L. Goldenberg, M.D.; Thorndike 416, Boston City Hospital; 818 Harrison Avenue; Boston, MA 02118.


Boston, Massachusetts


© 1979 American College of PhysiciansAmerican College of Physicians


Ann Intern Med. 1979;91(2):271-274. doi:10.7326/0003-4819-91-2-271
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There has been no evidence that primary-care pathways, a recent innovation in internal medicine residency programs, have affected the career choices of their trainees. We report the experience of the first four cohorts of primary-care trainees in internal medicine compared with traditional-pathway trainees at Boston City Hospital. Primary-care residents remained committed to their plans for a career in general internal medicine throughout training. In contrast, two thirds of the traditionally trained residents who were planning a career in general internal medicine at the beginning of their training changed their plans to subspecialty medicine. Thus, the primary-care pathway reinforced the career plans of trainees in general internal medicine, whereas traditional training influenced potential generalists toward subspecialty medicine.

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