Although available slots in IM, FP and Peds in the 2010 match far exceeded those who matched, there was a slim increase over 2009 in the number of graduates matching in all three specialties. While that may be regarded by some as good news, very few IM trainees are opting for primary care, choosing instead susbpecialty and hospitalist positions. DB asks why and suggests better job conditions for hospitalists as one of the reasons.
His analysis is only partially correct and ignores one of the key issues: General Internal Medicine is losing its identity as a unique specialty. Its distinction from Family Practice is diminishing. It has been proposed for dissolution by merger with FP and may no longer exist in a decade or two. The American College of Physicians, Internal Medicine's leading professional organization, has been complicit in this trend.
I hope DB takes advantage of his leadership position in the ACP to make a difference here.