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Journal of General Internal Medicine

, Volume 9, Supplement 1, pp S81–S89 | Cite as

Innovative generalist programs

Academic health care centers respond to the shortage of generalist physicians
  • Christopher Urbina
  • Martin Hickey
  • Caryn Mcharney-Brown
  • Stewart Duban
  • Arthur Kaufman
Article

Abstract

Academic health care centers increasingly are exploring innovative ways to increase the supply of generalist physicians. The authors review successful innovations at representative academic health centers in the areas of recruitment and admissions, undergraduate medical education, residency training, and practice support. Lessons learned focus on those areas that have demonstrated improvements in the number and quality of physicians trained in family practice, general pediatrics, and general internal medicine. Successful recruitment of generalism-oriented applicants requires identification and tracking of rural, minority, and other special groups of students at the high school and college levels. Academic health care centers that provide early, sustained, community-based, ambulatory experiences for medical students and residents encourage trainees to maintain and choose generalist careers. Finally, academic health care centers that link with community providers and with state government encourage the retention of generalist physicians through continuing education and teaching networks.

Key words

academic health care centers generalist training 

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Copyright information

© Society of General Internal Medicine 1994

Authors and Affiliations

  • Christopher Urbina
    • 1
  • Martin Hickey
    • 2
  • Caryn Mcharney-Brown
    • 1
  • Stewart Duban
    • 3
  • Arthur Kaufman
    • 1
  1. 1.the Department of Family and Community MedicineUniversity of New Mexico School of MedicineAlbuquerque
  2. 2.Department of Internal MedicineUniversity of New Mexico School of MedicineAlbuquerque
  3. 3.Department of PediatricsUniversity of New Mexico School of MedicineAlbuquerque

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