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Current Positions of Graduates of Internal Medicine–Pediatrics Training Programs

Howard Schubiner, MD; Carole Lannon, MD, MPH; Lynn Manfred, MD
Arch Pediatr Adolesc Med. 1997;151(6):576-579. doi:10.1001/archpedi.1997.02170430042009.
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Objective:  To determine what positions graduates of internal medicine–pediatrics programs currently hold.

Design:  A survey of the program directors of residencies in internal medicine–pediatrics.

Participants:  Program directors of the 85 internal medicine–pediatrics training programs listed in the 1993-1994 Graduate Medical Education Directory.

Main Outcome Measures:  A 1-page survey that described the current positions of trainees graduating between 1987 and 1993.

Results:  Seventy-four (87%) of the 85 program directors completed the survey. Of the 708 graduates reported on, 68% were practicing as generalists. The generalists of this cohort (n=480) were primarily in private practice settings (n=390, 81%) and most were practicing internal medicine–pediatrics (n=416,85%). Only 12% of the generalists had chosen to practice either pediatrics or internal medicine. Twenty-one percent of the total graduates had entered subspeciality training.

Conclusions:  To our knowledge, the sample of 708 graduates is the largest survey of graduates of internal medicine–pediatrics programs to date and shows that 68% of graduates are practicing in primary care fields. Graduates of internal medicine–pediatrics programs should be considered as an important source of primary care physicians.Arch Pediatr Adolesc Med. 1997;151:576-579


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