A New Era for Residency Training in Internal Medicine

This article originally appeared in JAMA Internal Medicine and is co-authored by Center faculty member Sara Fazio.

Health care system reform and practice transformation focuses on care delivered outside the hospital and places greater emphasis on primary care. As a result of this change, resident practices are being redesigned┬áto produce doctors who can be successful in today’s health care environment.

“Internal medicine residents should learn to deliver high-quality, cost-effective, equitable care that is patient-centered as well as to function as part of an interprofessional team. Residents should accomplish these goals while being responsible for an ever-expanding evidence base in the setting of universal and immediate access to medical information by their patients. Although the challenges are formidable, the current educational reform efforts should create the opportunities for this learning to occur. A competency-based assessment system should assure faculty as well as the public that residency programs in internal medicine are producing the best doctors for the 21st century.”

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