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The Training of Physicians Outside the Hospital
John D. Goodson, MD;
Allan H. Goroll, MD;
Arthur J. Barsky, MD;
Katharine K. Treadway, MD;
George E. Thibault, MD;
John D. Stoeckle, MD
Arch Intern Med. 1986;146(9):1805-1809.
Abstract
• The current ambulatory training of medical residents in the primary care program and the traditional program of the Massachusetts General Hospital, Boston, are described. All residents are assigned to work in a single medical group practice unit during their three years of training. Block outpatient rotations make up 32% of the primary care program and 6% of the traditional program schedules, while total ambulatory experiences, including weekly continuity sessions, make up 39% and 15% respectively. Several components are important for a successful program. Above all is a vigorous group practice providing a sizable panel of patients with complex clinical problems from which residents can learn. Also important are financial support from the hospital and government or private grants and a commitment to outpatient teaching by the medical and nonmedical specialty staff.
(Arch Intern Med 1986;146:1805-1809)
Author Affiliations
From the Primary Care Program of the General Internal Medicine Unit (Drs Goodson, Goroll, Barsky, Treadway, and Stoeckle) and the Depart ments of Medicine (Drs Goodson, Goroll, Treadway, Thibault, and Stoeckle) and Psychiatry (Dr Barsky), Massachusetts General Hospital, and the Departments of Medicine (Drs Goodson, Goroll, Treadway, Thibault, and Stoeckle) and Psychiatry (Dr Barsky), Harvard Medical School, Boston.
Footnotes
Accepted for publication Nov 26, 1985.
Reprint requests to ACC 527, Massachusetts General Hospital, 15 Parkman St, Boston, MA 02114 (Dr Goodson).
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