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Stop training internists.

The article about additional training for internists truly piqued my interest ("Skeptics Question proposal for Fourth Year of IM Training," June 1, 2003, p. 1).

I am surprised that we internists cannot accept what the practice of internal medicine has become. It probably was a meaningful specialty 35 years ago, when internists were supposed to sort out the difficult cases and manage them, but it is a different story now.

Fellow internists, please wake up. You are now primary care physicians similar to family physicians, but with a lower potential of establishing a large practice. You do not see children. You are not really trained for minor surgery. Your capitation fee is on the same plane as family practice and you are not perceived as a specialist.

Please do not torture new internists with prolonged training. All internal medicine training should be stopped and incorporated into specialty training. The sooner we realize that internal medicine is not a specialty in this era of managed care, the better off we will all be.

Ratnakar S. Shetty, M.D.

New Brighton, Pa.
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Author:Shetty, Ratnakar S.
Publication:Internal Medicine News
Article Type:Letter to the Editor
Date:Aug 15, 2003
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