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COPYRIGHT 2006 International Medical News Group
Here are some of the comments that INTERNAL MEDICINE NEWS received from readers in response to the story, "ACP Charts New Path for Internists" (May 1, 2006, p. 1):
Dr. Andrew C. Wormser, New Haven, Conn.
Regarding the American College of Physicians' initiative to strengthen general internal medicine, thank heavens someone has identified the decline of primary care medicine as a problem and is trying to do something about it!
Ever since the promise of managed care disintegrated into the reality of lower fees and higher insurance company profit margins, primary care has been less and less attractive to U.S. medical students. What to do?
We certainly need to move much of the training out of the hospital. It is ludicrous that with so little care actually delivered in house we persist with an anachronistic training model. The reason of course is financial: The hospitals don't want to give up the federal training dollars they receive. We need to lobby the federal government to pay institutions other than hospitals--perhaps medical schools, community health centers, and large group practices or...
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