Predicting, Preparing for, and Creating the Future: What Will Happen to Internal Medicine?
- Paul A. Hemmer,
- Sheila T. Costa(corresponding author),
- Deborah M. DeMarco,
- Stuart L. Linas,
- Don C. Glazier,
- Barbara L. Schuster
- Uniformed Services University of the Health Sciences,
- Alliance for Academic Internal Medicine,
- University of Massachusetts Medical School,
- University of Colorado Anschutz Medical Campus,
- Oregon Health and Science University,
- Wright State University
Scholary Output:
Contribution to journal
Comment/debate
Peer-review
Open access
Publication Information
Output type
Scholary Output:
Contribution to journal
Comment/debate
Peer-reviewOriginal language
English (US)Pages from-to (Number of pages)
Pages 1091-1096 (6 pages)Journal (Volume, Issue Number)
American Journal of Medicine (Volume 120, Issue 12)Publication milestones
- Published - 12/2007
Publication status
Published - 12/2007
ISSN
0002-9343Publication IDs
- Scopus: 36448946897
- PubMed: 18060932
Publication metrics
Metrics
SciVal
citations
6
SciVal
FWCI
2.76
SciVal
Author count
6
SciVal
Paper percentile
53
Fractional count
1
Fractional count
0.17
Fractional count
5
Fractional count
0.83
Fractional count
1
Fractional count
1
PlumX, opens in new tab
Captures
10
Citation count
6
Funding Details
In undergraduate medical education, internal medicine returns to power within the medical school structure, teaching preclinical and clinical students. Students are increasingly interested in internal medicine because internists truly manage patient problems, are paid appropriately for their expertise, and work in true collaboration with subspecialists. Medical school is structured like law school: the goal is only to teach students, not worry about other academic issues (such as NIH rankings). Faculty members are full-time educators. The medical school becomes smaller and more integrated into the university. Private practitioners teach and supervise students and residents in community practices and community hospitals. Faculty precept and supervise in the medical centers. Internal medicine residents spend their final (fourth) year of residency tailoring their education to future practice (for example, pursuing masters’ degrees in business or public health); general internal medicine “fellowships” are commonplace. Current federal funding for residency and fellowship would be redistributed to fund the 4 years of training. The model could also allow for full tuition funding by the government; students would “pay back” loans with money or service.