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Need for a Resolution

Eleanor Z. Wallace, MD

Arch Intern Med. 1988;148(6):1296.

Abstract
• Decreased availability of internal medicine residents for inpatient care may result from efforts to contain rising health costs and to decrease funding for graduate medical education. The movement toward increased ambulatory training, reduced work hours for residents, and the declining interest in internal medicine careers will further decrease resident numbers. Hospitals have relied on trainees for an extraordinary range of hospital services, resulting in long duty weeks, assumption of large amounts of ancillary responsibilities, excessive patient loads, and increased house staff stress. Residents must be relieved of time-consuming, nonmedical chores and internal medicine training must be redefined to provide experiences which are important to gain competence. Hospitals must find other resources for providing patient care functions not educationally valid for residents, to allow that training to refocus on the appropriate development of the internist of the future.

(Arch Intern Med 1988;148:1296)

Author Affiliations
From the Jewish Medical Center and State University of New York— Health Sciences Center at Stony Brook, New Hyde Park, NY.

Footnotes
Accepted for publication Jan 22, 1988.

Reprint requests to Department of Medicine, Long Island Jewish Medical Center, New Hyde Park, NY 11042 (Dr Wallace).

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