retired doc wonders if there will be general internists in the future

“Tremendous growth and development of the subspecialist domains of expertise has changed the landscape. Cardiologists are now called in to treat coronary syndromes, pulmonary docs for respiratory failure, etc etc. Oncologists take care of the cancers, kidney doctors the ESRD cases and it is the rheumatologists now giving the disease modifying treatments for rheumatoid arthritis. In short, the areas in which the internist was the expert have largely disappeared and the experts are the IM subspecialists.”

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