Christopher S. Lyttle, MA; Ronald M. Andersen, PhD; Kristen Neymarc, MA; Christian Schmidt, BA; Claire H. Kohrman, PhD; Gerald S. Levey, MD
Objective: To determine the number and distribution of internists in subspecialty training and compare with data collected since 1976; to determine the distribution of activity of subspecialty fellows; and to focus on hematology and oncology.
Design: Repeated mail survey with telephone follow-up.
Participants: All directors of subspecialty training programs in internal medicine in the United States.
Results: The 1988-1989 census identified 7530 fellows in training, 55 more than in 1987-1988. There are 24 more first-year fellows. Reports on the activities of subspecialty fellows show that, overall, 53% of fellows' time is spent in direct patient care, 20% on basic research, 15% on patient-related research, and 12% in teaching.
Conclusions: The number of internists entering subspecialty training has risen at a considerably slower rate in the last 5 years compared with the 5 years before that. The length of subspecialty training has increased significantly since 1976. There has been a shift in subspecialty choice from hematology to oncology and toward joint programs offering both subspecialties.
Lyttle CS, Andersen RM, Neymarc K, et al. National Study of Internal Medicine Manpower XVIII: Subspecialty Fellowships with a Special Look at Hematology and Oncology, 1988-1989. Ann Intern Med. 1991;114:36–42. doi: 10.7326/0003-4819-114-1-36
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Published: Ann Intern Med. 1991;114(1):36-42.
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