Gregg Coodley, MD; Marcia Kerensky Coodley, MD
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To the Editors: We strongly disagree with the proposal outlined by Dr. Stein (1) to increase internal medicine residency training to 4 years, for the purpose of increasing the attractiveness of general internal medicine. In his proposal, residents would spend 4 months of the fourth year in primary care settings and the other 8 months in subspecialty training.
This proposal has several fallacies. First, there is no evidence that medical students choose not to go into internal medicine or that residents opt for subspecialities over general internal medicine because residency training is too short. A recent study of medical students
Coodley G, Coodley MK. The State of Internal Medicine. Ann Intern Med. ;114:518–519. doi: 10.7326/0003-4819-114-6-518
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Published: Ann Intern Med. 1991;114(6):518-519.
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