Journal of General Internal Medicine

, Volume 15, Issue 6, pp 417–420

Physicians’ reports of focused expertise in clinical practice

  • Nancy L. Keating
  • Alan M. Zaslavsky
  • John Z. Ayanian
Brief Reports

DOI: 10.1046/j.1525-1497.2000.08003.x

Cite this article as:
Keating, N.L., Zaslavsky, A.M. & Ayanian, J.Z. J GEN INTERN MED (2000) 15: 417. doi:10.1046/j.1525-1497.2000.08003.x

Abstract

Little is known about the prevalence of focused expertise (special areas of expertise within a clinical field) among physicians, yet such expertise may influence how care is delivered. We surveyed general internists, pediatricians, cardiologists, infectious disease specialists, and orthopedic surgeons to describe the prevalence of focused expertise and identify associated physician and practice characteristics. About one quarter of generalists and three quarters of specialists reported a focused expertise within their primary specialty. Hospital-based physicians more often reported such expertise, and physicians reimbursed by capitation less often reported expertise. Learning how focused expertise affects processes and outcomes of care will contribute to decisions about physician training and staffing of medical groups.

Key words

physician trainingprimary carespecialty caremanpower

Copyright information

© Society of General Internal Medicine 2000

Authors and Affiliations

  • Nancy L. Keating
    • 1
    • 2
  • Alan M. Zaslavsky
    • 2
  • John Z. Ayanian
    • 1
    • 2
  1. 1.the Division of General Internal Medicine, Department of MedicineBrigham and Women’s HospitalUSA
  2. 2.Department of Health Care PolicyHarvard Medical SchoolBoston