----and it might as well be official. I’ve been talking about this for some time, and yesterday Retired Doc nailed it with this post about his impressions of the General Internal Medicine section of MKSAP 14.
Citing the subsections on contraception and uterine bleeding he asks “Does the American College of Physicians (ACP) believe and encourage that internists should be adequately expert and trained to go through the vagaries of abnormal uterine bleeding complete with ordering ultrasound and doing a endometrial biopsy? Some of the questions seem to imply just that.” He notes that these items along with others promoted by ACP such as derm procedures and group sessions for smoking cessation counseling are not among the reasons he became an internist. Ditto to that.
He goes on: “A section on corneal abrasions implies internists need fluorescein strips and Wood's lights in their office as the expectation is that not only will such patients be evaluated by the internist but treated and the internists will have the patients come back for follow up observation to see if a referral to an opthalmologist is needed.”
I’ve done just about every edition of MKSAP since completion of residency. I agree with Retired Doc. Each successive edition seems increasingly geared to teaching internists to be like family practitioners. Don’t get me wrong about ACP. They have some wonderful educational resources. But I’m increasingly inclined to believe that they no longer promote Internal Medicine as a unique specialty, and Retired Doc’s post only serves to confirm that.
Background: Internal Medicine has an identity crisis and the ACP is doing nothing about it.