TY - JOUR
T1 - Internal medicine residency redesign
T2 - Proposal of the internal medicine working group
AU - Horwitz, Ralph I.
AU - Kassirer, Jerome P.
AU - Holmboe, Eric S.
AU - Humphrey, Holly J.
AU - Verghese, Abraham
AU - Croft, Carol
AU - Kwok, Minjung
AU - Loscalzo, Joseph
PY - 2011/9
Y1 - 2011/9
N2 - Concerned with the quality of internal medicine training, many leaders in the field assembled to assess the state of the residency, evaluate the decline in interest in the specialty, and create a framework for invigorating the discipline. Although many external factors are responsible, we also found ourselves culpable: allowing senior role models to opt out of important training activities, ignoring a progressive atrophy of bedside skills, and focusing on lock-step curricula, lectures, and compiled diagnostic and therapeutic strategies. The group affirmed its commitment to a vision of internal medicine rooted in science and learned with mentors at the bedside. Key factors for new emphasis include patient-centered small group teaching, greater incorporation of clinical epidemiology and health services research, and better schedule control for trainees. Because previous proposals were weakened by lack of evidence, we propose to organize the Cooperative Educational Studies Group, a pool of training programs that will collect a common data set describing their programs, design interventions to be tested rigorously in multi-methodological approaches, and at the same time produce knowledge about high-quality practice.
AB - Concerned with the quality of internal medicine training, many leaders in the field assembled to assess the state of the residency, evaluate the decline in interest in the specialty, and create a framework for invigorating the discipline. Although many external factors are responsible, we also found ourselves culpable: allowing senior role models to opt out of important training activities, ignoring a progressive atrophy of bedside skills, and focusing on lock-step curricula, lectures, and compiled diagnostic and therapeutic strategies. The group affirmed its commitment to a vision of internal medicine rooted in science and learned with mentors at the bedside. Key factors for new emphasis include patient-centered small group teaching, greater incorporation of clinical epidemiology and health services research, and better schedule control for trainees. Because previous proposals were weakened by lack of evidence, we propose to organize the Cooperative Educational Studies Group, a pool of training programs that will collect a common data set describing their programs, design interventions to be tested rigorously in multi-methodological approaches, and at the same time produce knowledge about high-quality practice.
KW - Clinical examination
KW - Internal medicine
KW - Medical education
UR - http://www.scopus.com/inward/record.url?scp=80051967082&partnerID=8YFLogxK
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U2 - 10.1016/j.amjmed.2011.03.007
DO - 10.1016/j.amjmed.2011.03.007
M3 - Review article
C2 - 21854887
AN - SCOPUS:80051967082
SN - 0002-9343
VL - 124
SP - 806
EP - 812
JO - American Journal of Medicine
JF - American Journal of Medicine
IS - 9
ER -