Internal medicine may be in its twilight because it has failed to address the shortage of primary care physicians by training more general internists.
Data from several sources indicate that progressively fewer persons are entering general internal medicine as opposed to its subspecialties.
The reasons for this decline include adverse experiences in medical school, an unfavorable patient mix, declining incomes, and increasing hassles in caring for patients.
A series of reforms, such as improving the teaching in medical school, strengthening divisions of general medicine, and establishing financial incentives, are proposed to reverse this trend.
Mots-clés Pascal : Médecine générale, Spécialité médicale, Homme, Evolution, Etudiant, Enseignement universitaire, Médecine interne
Mots-clés Pascal anglais : Internal medicine, Medical specialty, Human, Evolution, Student, Higher education
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 94-0108362
Code Inist : 002B30A09. Création : 199406.