Salerno SM, Cowl CT. The opinion of current and recent internal medicine residents regarding a fourth year of training and the future of general internal medicine. American College of Physicians National Council of Associates.
Am J Med 1997;
102:143-6. [PMID:
9217562 DOI:
10.1016/s0002-9343(96)00357-9]
[Citation(s) in RCA: 2] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/04/2023]
Abstract
OBJECTIVE
To determine the opinion of current residents and recent graduates of internal medicine training programs regarding an additional mandatory year of residency training.
METHODS
A survey was made of 2,000 associate members of the American College of Physicians from five geographic regions.
RESULTS
Of 917 respondents, 70.3% thought a fourth year of training would impact negatively on their choice of a career in internal medicine, and 82.9% believed a mandatory fourth year should not be required of residents choosing a subspecialty career. Furthermore, 58.1% of physicians surveyed thought a mandatory fourth year would discourage individuals from pursuing subspecialty careers. If a mandatory fourth year of training were required, 50.7% respondents indicated that it should consist of ambulatory training in a number of general fields, while 49.6% physicians believed the training should focus on one or two subspecialty fields.
CONCLUSIONS
A mandatory fourth year of training is not supported by residents and recent graduates of the programs surveyed.
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