Principles to consider in defining new directions in internal medicine training and certification

Barbara J. Turner, Robert M. Centor, Gary E. Rosenthal

Research output: Contribution to journalReview articlepeer-review

5 Scopus citations


SGIM endoreses seven principles related to current thinking about internal medicine training: 1) internal medicine requires a full three years of residency training before subspecialization; 2) internal medicine residency programs must dramatically increase support for training in the ambulatory setting and offer equivalent opportunities for training in both inpatient and outpatient medicine; 3) in settings where adequate support and time are devoted to ambulatory training, the third year of residency could offer an opportunity to develop further expertise or mastery in a specific type or setting of care; 4) further certification in specific specialties within internal medicine requires the completion of an approved fellowship program; 5) areas of mastery in internal medicine can be demonstrated through modified board certification and recertification examinations; 6) certification processes throughout internal medicine should focus increasingly on demonstration of clinical competence through adherence to validated standards of care within and across practice settings; and 7) regardless of the setting in which General Internists practice, we should unite to promote the critical role that this specialty serves in patient care.

Original languageEnglish (US)
Pages (from-to)276-278
Number of pages3
JournalJournal of General Internal Medicine
Issue number3
StatePublished - Mar 2006
Externally publishedYes


  • Ambulatory care
  • Certification
  • Education
  • Graduate
  • Hospitalists
  • Internal medicine
  • Medical

ASJC Scopus subject areas

  • Internal Medicine


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