Internal medicine residency redesign: Proposal of the internal medicine working group

Ralph I. Horwitz, Jerome P. Kassirer, Eric S. Holmboe, Holly J. Humphrey, Abraham Verghese, Carol Croft, Minjung Kwok, Joseph Loscalzo

Research output: Contribution to journalArticle

16 Scopus citations

Abstract

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.

Original languageEnglish (US)
Pages (from-to)806-812
Number of pages7
JournalAmerican Journal of Medicine
Volume124
Issue number9
DOIs
StatePublished - Sep 2011

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Keywords

  • Clinical examination
  • Internal medicine
  • Medical education

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Horwitz, R. I., Kassirer, J. P., Holmboe, E. S., Humphrey, H. J., Verghese, A., Croft, C., Kwok, M., & Loscalzo, J. (2011). Internal medicine residency redesign: Proposal of the internal medicine working group. American Journal of Medicine, 124(9), 806-812. https://doi.org/10.1016/j.amjmed.2011.03.007