tag:blogger.com,1999:blog-14743001.post588234282726661375..comments2024-01-02T02:45:17.328-06:00Comments on Notes from Dr. RW: Why IM trainees choose hospital medicine and subspecialties over primary careRobert W Donnellhttp://www.blogger.com/profile/16944231400440786271noreply@blogger.comBlogger4125tag:blogger.com,1999:blog-14743001.post-16405299062914043692010-03-31T14:00:15.320-05:002010-03-31T14:00:15.320-05:00I must take umbrage in your characterization of AC...I must take umbrage in your characterization of ACP as an elitist organization. ACP really has a wonderful mixture of academicians and private practice physicians in its leadership. ACP has changed dramatically over the past decade. No other organization even tries to consider the breadth of internal medicine in its mission.<br /><br />You really should reconsider ACP as an incredibly rcentorhttps://www.blogger.com/profile/07717424591748588051noreply@blogger.comtag:blogger.com,1999:blog-14743001.post-81726397977358041322010-03-28T14:36:49.678-05:002010-03-28T14:36:49.678-05:00To WhydoIneedthe ACP?
I have been criticizing the...To WhydoIneedthe ACP?<br /><br />I have been criticizing the ACP for not supporting Internal Medicine. You have raised another issue: the ACP is an elitist organization. I fully agree. It's just one of many reasons I never joined. <br /><br />About 20 years or so ago they made it easier to advance to fellowship---you didn't have to be an academic. But then what did they go and do? Robert W Donnellhttps://www.blogger.com/profile/16944231400440786271noreply@blogger.comtag:blogger.com,1999:blog-14743001.post-22909762727237987392010-03-27T09:34:01.131-05:002010-03-27T09:34:01.131-05:00One reason that primary care identity is fading is...One reason that primary care identity is fading is that it is practicing differently today. In the past, internists prided themselves on managing the whole patient and requested consultations judiciously to address a specific clinical question. Nowadays, and for many reasons, primary care physicians pull the consultation trigger repeatedly. It is very typical for a hospital patient to have Michael Kirsch, M.D.https://www.blogger.com/profile/07555280388086931097noreply@blogger.comtag:blogger.com,1999:blog-14743001.post-74468283509834836162010-03-26T13:55:35.094-05:002010-03-26T13:55:35.094-05:00I remember during my residency, Academic Internal ...I remember during my residency, Academic Internal Medicine attendings, for whom I had great respect, would descend from on high for their 4 week rotations in the hospital and present knowledge and experience accumulated over decades in practice as somehow esoteric and elusive. There was an aura of austerity that to a young, very motivated but as yet inexperienced resident seemed almost cronetimhttps://www.blogger.com/profile/07824465554809214714noreply@blogger.com