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Inadequate Training and Education

Alexander C. Chester, MD

Arch Intern Med. 1994;154(2):133-135.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

CHRONIC sinusitis is the most common chronic health complaint in the United States, surpassing both arthritis and hypertension.² Most visits for diagnosis and treatment of sinusitis (87%) are to primary care physicians.³ Conversely, 33% to 50% of all visits to primary care physicians are related to upper respiratory tract and related head and neck infections.⁴ What preparation have internists had for this task? What guidance would their reference library and periodical literature offer? What do they think chronic sinusitis is, and what symptoms do they think it can cause? Where in their literature are the most recent advances in diagnosis and treatment reported?

Training in internal medicine is mostly inpatient. Demands for a larger and richer outpatient exposure have been most recently expressed in a workshop-retreat on the internal medicine curriculum.⁵ Both the ambulatory and inpatient exposure are directed toward the accumulation of an extraordinary volume . . . [Full Text PDF of this Article]

Author Affiliations
Georgetown University Medical Center 3301 New Mexico Ave NW Suite 348 Washington, DC 20016

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