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May 16, 1986, Vol 255, No. 19 >
ARTICLE | May 16, 1986

Family Practice and General Internal Medicine: What Kind of Cooperation Makes Sense? FREE

Robert H. Friedman, MD
JAMA. 1986;255(19):2644-2646. doi:10.1001/jama.1986.03370190128039
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References

Experimentation in medical education has a strong history in this country. It has been the rule in the development of primary care training programs during the past two decades and should be encouraged for the future. The suggestions of Christiansen et al1 and Geyman2 presented in this issue of The Journal fit into this tradition. Integration of primary care training into a single unified program, combining the best elements of current approaches, is logically appealing. We would then follow the example of other countries, like Britain and Canada, where there is one type of primary care physician and one model of primary care education.

The call for dramatic changes in primary care training rests primarily on the assumption that current programs will not meet the primary care medical manpower needs of the future. However, some current data support the conclusion that primary care physician manpower for the 1990s

REFERENCES

1 +
Christiansen RG, Johnson LP, Boyd GE, et al:  A proposal for a combined family practice-internal medicine residency . JAMA 1986;;255:2628-2630.
2 +
Geyman JP:  Training primary care physicians for the 21st century: Alternative scenarios for competitive vs generic approaches . JAMA 1986;;255:2631-2635.
3 +
The Report of the Graduate Medical Education National Advisory Committee , DDHS publication (HRA)81-651 through (HRA)81-657. Hyattsville, Md, Health Resources Administration, 1980;, vols 1-7.
4 +
Projections of Physician Supply in the United States , report 3-85. Washington, DC, Office of Data Analysis and Management, (March) 1985;.
5 +
Steinwachs DM, Weiner JP, Shapiro S, et al:  A comparison of the requirements for primary care physicians in HMOs with projections made by GMENAC . N Engl J Med 1986;;314:217-222.
6 +
Schleiter MK, Tarlov AR:  National study of internal medicine manpower: IX. Internal medicine residency and fellowship training: 1984 update . Ann Intern Med 1985;;102:681-685.
7 +
Crowley AE:  Graduate medical education in the United States . JAMA 1985;;254:1585-1593.
8 +
Friedman RH, Pozen JT, Rosencrans AL, et al:  General internal medicine units in academic medical centers: Their emergency and functions . Ann Intern Med 1982;;96:233-238.
9 +
Eisenberg JM:  Curricula and organization of primary care residencies in internal medicine . J Med Educ 1980;;55:345-353.
10 +
Dietrich AH, Goldberg H:  Preventive content of adult primary care: Do generalists and subspecialists differ? Am J Public Health 1984;;74:223-227.
11 +
Friedman RH, Pozen JT:  The academic viability of general internal medicine: The views of department of medicine chairmen . Ann Intern Med 1985;;103:439-444.
12 +
Goodale F:  Academic credibility: Can your department of family medicine meet the challenge? J Fam Pract 1984;;18:471-476.
13 +
Perkoff GT:  The research environment in family practice . J Fam Pract 1985;;21:389-393.
14 +
Cluff LE:  A research agenda for family physicians . J Fam Pract 1984;;18:145-148.
15 +
Jackson M, MacInnes I:  Promotion and tenure in family practice in US medical schools . J Fam Pract 1984;;18:435-439.
16 +
Stern RS, Jennings M, Delbanco TL, et al:  Graduate education in primary care: An economic analysis . N Engl J Med 1977;;297:638-643.
17 +
Ciriacy EW, Liang FZ, Godes JR, et al:  The cost and funding of family practice graduate education in the United States . J Fam Pract 1985;;20:285-295.
18 +
Deyo RA:  The effect of outpatient visit volume on inpatient teaching services . J Med Educ 1984;;59:302-308.
19 +
Moloney TW, Rogers DE:  Medical technology—a different view of the contentious debate over costs . N Engl J Med 1979;;301:1413-1419.

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Country-Specific Mortality and Growth Failure in Infancy and Yound Children and Association With Material Stature

Use interactive graphics and maps to view and sort country-specific infant and early dhildhood mortality and growth failure data and their association with maternal

1 +
Christiansen RG, Johnson LP, Boyd GE, et al:  A proposal for a combined family practice-internal medicine residency . JAMA 1986;;255:2628-2630.
2 +
Geyman JP:  Training primary care physicians for the 21st century: Alternative scenarios for competitive vs generic approaches . JAMA 1986;;255:2631-2635.
3 +
The Report of the Graduate Medical Education National Advisory Committee , DDHS publication (HRA)81-651 through (HRA)81-657. Hyattsville, Md, Health Resources Administration, 1980;, vols 1-7.
4 +
Projections of Physician Supply in the United States , report 3-85. Washington, DC, Office of Data Analysis and Management, (March) 1985;.
5 +
Steinwachs DM, Weiner JP, Shapiro S, et al:  A comparison of the requirements for primary care physicians in HMOs with projections made by GMENAC . N Engl J Med 1986;;314:217-222.
6 +
Schleiter MK, Tarlov AR:  National study of internal medicine manpower: IX. Internal medicine residency and fellowship training: 1984 update . Ann Intern Med 1985;;102:681-685.
7 +
Crowley AE:  Graduate medical education in the United States . JAMA 1985;;254:1585-1593.
8 +
Friedman RH, Pozen JT, Rosencrans AL, et al:  General internal medicine units in academic medical centers: Their emergency and functions . Ann Intern Med 1982;;96:233-238.
9 +
Eisenberg JM:  Curricula and organization of primary care residencies in internal medicine . J Med Educ 1980;;55:345-353.
10 +
Dietrich AH, Goldberg H:  Preventive content of adult primary care: Do generalists and subspecialists differ? Am J Public Health 1984;;74:223-227.
11 +
Friedman RH, Pozen JT:  The academic viability of general internal medicine: The views of department of medicine chairmen . Ann Intern Med 1985;;103:439-444.
12 +
Goodale F:  Academic credibility: Can your department of family medicine meet the challenge? J Fam Pract 1984;;18:471-476.
13 +
Perkoff GT:  The research environment in family practice . J Fam Pract 1985;;21:389-393.
14 +
Cluff LE:  A research agenda for family physicians . J Fam Pract 1984;;18:145-148.
15 +
Jackson M, MacInnes I:  Promotion and tenure in family practice in US medical schools . J Fam Pract 1984;;18:435-439.
16 +
Stern RS, Jennings M, Delbanco TL, et al:  Graduate education in primary care: An economic analysis . N Engl J Med 1977;;297:638-643.
17 +
Ciriacy EW, Liang FZ, Godes JR, et al:  The cost and funding of family practice graduate education in the United States . J Fam Pract 1985;;20:285-295.
18 +
Deyo RA:  The effect of outpatient visit volume on inpatient teaching services . J Med Educ 1984;;59:302-308.
19 +
Moloney TW, Rogers DE:  Medical technology—a different view of the contentious debate over costs . N Engl J Med 1979;;301:1413-1419.

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