A recent comment raised a minor controversy about the strategy of minimizing tests.  I actually do not think that the disagreement is that great, but I feel like exploring the issue. This is the sentence that triggered the comment, courtesy of primary care physician Rob Lamberts:

Order as few tests as possible.  No test should be ordered for informational purposes only; the question, “What will I do with these results?” should always ...

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During my entire career I have seen unwarranted and unseemly squabbling between town and gown. I often hear the gown side insult the town side. While I went straight into academic medicine, I did moonlight in community hospitals. For the past 6 years I have taught part time in a community hospital and part time in an academic VA hospital. I find recent negative comments about academic medicine unfortunate just like ...

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I received a wonderful inquisitive e-mail from a 1st year medical student.  He aspires to an academic internal medicine career and, as a non-traditional student with an MPH, has realistic goals.  He asks:

What scares me is the prospect of going into a relatively low-paying specialty in such a non-lucrative practice environment with such massive educational debt.  Are there any other challenges to going into internal medicine that are unique to ...

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I have spent most of the past 2 weeks on the road – first at ACP and this week at SGIM. I have talked with many internists, but several conversations have contributed to writing this post. Each of several leaders contributed to these ideas, but I will keep them anonymous so the innocent are protected. Here are the main assumptions: 1. Internists by training excel in the care of complexity 2. Pursuing the ...

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