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General Internal Medicine and General Internists: Recognizing a National Need

[+] Article, Author, and Disclosure Information

American Board of Internal Medicine: Gerald E. Thomson, MD (FCIM Chair); Richard J. Glassock, MD; Harry R. Kimball, MD; Arthur H. Rubenstein, MD; and Linda L. Blank (staff). American College of Physicians: John R. Ball, MD, JD; Paul F. Griner, MD; Rolf M. Gunnar, MD; Eugene Hildreth, MD; Willis C. Maddrey, MD; and Howard B. Shapiro, PhD (staff). American Society of Internal Medicine: Joseph F. Boyle, MD; Milford C. Maloney, MD; Alan R. Nelson, MD; Eugene S. Ogrod, II, MD; Richard D. Ruppert, MD; and Mark A. Leasure (staff). Association of Professors of Medicine: J. Claude Bennett, MD (FCIM Vice Chair); Robert M. Glickman, MD; and James G. Terwilliger (staff). Association of Program Directors in Internal Medicine: Ronald A. Arky, MD; Donald E. Girard, MD; Barbara L. Schuster, MD; Herbert S. Waxman, MD; and Dema C. Daley (staff). Society of General Internal Medicine: Robert H. Fletcher, MD; Lee Goldman, MD; Mack Lipkin, Jr., MD; and Elnora M. Rhodes (staff).

Requests for Reprints: Linda L. Blank, American Board of Internal Medicine, 3624 Market Street, Philadelphia, PA 19104.

© 1992 American College of PhysiciansAmerican College of Physicians

Ann Intern Med. 1992;117(9):778-779. doi:10.7326/0003-4819-117-9-778
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This excerpt has been provided in the absence of an abstract.

General internists make important contributions throughout the U.S. health care system—in hospitals, in the office and clinic, in referral care—and they are the largest pool for primary care physicians of any developed country. Approximately one third of U.S. physicians designate themselves as general internists, family or general practitioners, or pediatricians, whereas in Canada about half of physicians are generalists and in Great Britain two thirds are generalists. Thus, the need for more general internists in the United States is of major concern.

Recognizing the Realities: Based on estimates from the Graduate Medical Education National Advisory Committee in 1980 and the


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