Principles to consider in defining new directions in internal medicine training and certification.

Journal of General Internal Medicine
Barbara J TurnerCouncil of the Society of General Internal Medicine

Abstract

SGIM endorses seven principles related to current thinking about internal medicine training: 1) internal medicine requires a full three years of residency training before subspecialization; 2) internal medicine residency programs must dramatically increase support for training in the ambulatory setting and offer equivalent opportunities for training in both inpatient and outpatient medicine; 3) in settings where adequate support and time are devoted to ambulatory training, the third year of residency could offer an opportunity to develop further expertise or mastery in a specific type or setting of care; 4) further certification in specific specialties within internal medicine requires the completion of an approved fellowship program; 5) areas of mastery in internal medicine can be demonstrated through modified board certification and recertification examinations; 6) certification processes throughout internal medicine should focus increasingly on demonstration of clinical competence through adherence to validated standards of care within and across practice settings; and 7) regardless of the setting in which General Internists practice, we should unite to promote the critical role that this specialty serves in patient care.

References

Jan 30, 2004·Journal of General Internal Medicine·Eric B LarsonUNKNOWN Task Force on the Domain of General Internal Medicine. Society of General Internal Medicine (SGIM)
Apr 21, 2004·Annals of Internal Medicine·Eric B Larson, UNKNOWN Society of General Internal Medicine (SGIM) Task Force on the Domain of General Internal Medicine
Dec 31, 2004·The New England Journal of Medicine·Mary E TinettiJoseph V Agostini
Aug 11, 2005·JAMA : the Journal of the American Medical Association·Cynthia M BoydAlbert W Wu

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Citations

Oct 28, 2010·Academic Medicine : Journal of the Association of American Medical Colleges·Stewart F BabbottEric S Holmboe
Jul 13, 2012·The Mount Sinai Journal of Medicine, New York·Lauren A PeccoraloLinda V DeCherrie

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