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Editorials |

Customizing Residency Education

Holly J. Humphrey, MD
[+] Article, Author, and Disclosure Information

From The University of Chicago, Chicago, IL 60637.

Potential Financial Conflicts of Interest: None disclosed.

Requests for Single Reprints: Holly J. Humphrey, MD, The University of Chicago, Pritzker School of Medicine, Office of Medical Education, 924 East 57th Street, Chicago, IL 60637.

Ann Intern Med. 2004;140(8):663-664. doi:10.7326/0003-4819-140-8-200404200-00019
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For more than 2 decades, leaders in internal medicine have called for residency education reform (1). Somewhat surprisingly, little has happened. The current state of the medical care environment inspired Larson and the Society of General Internal Medicine (SGIM) Task Force to propose a new paradigm for residency education, which is reported in this issue (2). Its basic premise is that residency programs should provide future internists with expertise that matches the requirements of their future practice site. Larson and the SGIM Task Force propose tailoring training to the setting in which the resident will ultimately practice—as a subspecialist or generalist, in a rural or urban environment, in a predominantly outpatient setting, or as an inpatient hospitalist. The idea is that residency programs should adapt to individual career goals in order to best prepare internists to meet their ultimate role with the depth, breadth, and mastery that has historically characterized internal medicine.

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