Albert D. Roberts, MD
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To the Editor: Davidoff's (1) well-reasoned analysis of the problems of medical residencies, so bracing in its critique of the reasons usually advanced for the decline in applications for training in internal medicine, does not grasp forthrightly the nettle of reimbursement. Disappointingly, payment is mentioned only in the context of "differential increases in reimbursement for 'teaching office visits' . . . ."
It is likely that graduates are discouraged from entering internal medicine training because they have learned from practicing internists that the level of Medicare and health maintenance organization (HMO) reimbursement schemes are simply foreclosing the traditional practice of
Roberts AD. Reimbursement and Declines in Internal Medicine Training. Ann Intern Med. ;111:544. doi: 10.7326/0003-4819-111-6-544_1
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Published: Ann Intern Med. 1989;111(6):544.
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