Comments on: Should general internal medicine merge with family practice? http://www.kevinmd.com/blog/2009/04/should-general-internal-medicine-merge.html medical blog Sun, 22 Nov 2009 14:15:05 -0500 http://wordpress.org/?v=2.8.4 hourly 1 By: Darin http://www.kevinmd.com/blog/2009/04/should-general-internal-medicine-merge.html/comment-page-1#comment-90708 Darin Sun, 05 Apr 2009 14:54:00 +0000 http://clients.emmense.com/kevinmd/2009/04/should-general-internal-medicine-merge-with-family-practice.html#comment-90708 Only adding to What Dr. Parker said. Internal medicine residency programs are filling their positions with those willing to fill them Foreign and International medical grads. It is no different than our hispanic friends to the South willing to fill those positions citizens are not in the service industry (construction/maids/roofers/landscapers/cooks/etc). Citizens site the hard work/$/time. Whereas non-citizens/etc., whom have had less/see less, opt for the easiest pathway into a system which can reward them later. Only adding to What Dr. Parker said. Internal medicine residency programs are filling their positions with those willing to fill them Foreign and International medical grads. It is no different than our hispanic friends to the South willing to fill those positions citizens are not in the service industry (construction/maids/roofers/landscapers/cooks/etc). Citizens site the hard work/$/time. Whereas non-citizens/etc., whom have had less/see less, opt for the easiest pathway into a system which can reward them later.

]]> By: Steve Parker, M.D. http://www.kevinmd.com/blog/2009/04/should-general-internal-medicine-merge.html/comment-page-1#comment-90687 Steve Parker, M.D. Sat, 04 Apr 2009 01:20:00 +0000 http://clients.emmense.com/kevinmd/2009/04/should-general-internal-medicine-merge-with-family-practice.html#comment-90687 No need for the debate.<br/><br/>Primary care is being taken over by nurse practitioners and physician assistants. <br/><br/>Physicians will be out of the picture except in states that require an MD or DO available for lawsuits.<br/><br/>This is the way the payers for healthcare want it. It's the new Golden Rule: He who has the gold makes the rules.<br/><br/>-Steve No need for the debate.

Primary care is being taken over by nurse practitioners and physician assistants.

Physicians will be out of the picture except in states that require an MD or DO available for lawsuits.

This is the way the payers for healthcare want it. It’s the new Golden Rule: He who has the gold makes the rules.

-Steve

]]> By: Bad Medicine, Good Solutions http://www.kevinmd.com/blog/2009/04/should-general-internal-medicine-merge.html/comment-page-1#comment-90685 Bad Medicine, Good Solutions Fri, 03 Apr 2009 23:41:00 +0000 http://clients.emmense.com/kevinmd/2009/04/should-general-internal-medicine-merge-with-family-practice.html#comment-90685 This is silly. To change our medical training simply because the follies of our government and insurance companies is ludicrous. Internists are heading towards hospitalist practice because they have been driven their by finances and bureacracy. This would be a myopic change. CMS is on the verge of imploding and insurance companies are pricing themselves into their natural role - catastrophic insurance. In the near future economics will swing back in favor of primary care as more patients are forced/electively shopping for their own care. Internists will begin to flee the collapsing hospital system and return to primary care. This is silly. To change our medical training simply because the follies of our government and insurance companies is ludicrous. Internists are heading towards hospitalist practice because they have been driven their by finances and bureacracy. This would be a myopic change. CMS is on the verge of imploding and insurance companies are pricing themselves into their natural role – catastrophic insurance. In the near future economics will swing back in favor of primary care as more patients are forced/electively shopping for their own care. Internists will begin to flee the collapsing hospital system and return to primary care.

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