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Internal Medicine: A View from the Country

Ronald V. Loge, MD
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Requests for Reprints: Ronald V. Loge, MD, 401 Barrett Street, Barrett Memorial Hospital, Dillon, MT 59725.

Barrett Memorial Hospital
Dillon, MT 59725

Ann Intern Med. 1991;114(1):92-93. doi:10.7326/0003-4819-114-1-92
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While practicing general internal medicine for the past decade in a small community in the Rocky Mountains, I have been observing our profession. Although some of the characteristics of rural practice are different from those of practice in other settings, the patients and their problems are the same. The issues of how our profession confronts health care problems and how we see ourselves are evolving. Do these changes, however, benefit our patients and make internal medicine cohesive?

General internal medicine, the century-old corner-stone of American medicine, is showing signs of age. Medical students' perceptions of and internists' dissatisfaction with this


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