What question did this study set out to answer?

To evaluate longitudinal trends and changes in career practice settings among newly certified and more experienced general internists.

May 16, 2022Annals of Internal Medicine

Evolving Practice Choices by Newly Certified and More Senior General Internists

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To evaluate longitudinal trends and changes in career practice settings among newly certified and more experienced general internists.
Analyzed Medicare fee-for-service claims (2008 to 2018) linked to American Board of Internal Medicine certification data for general internists certifying between 1990 and 2017 (N = 84,581).
Classified practice settings based on annual evaluation and management (E&M) claims into hospitalist (>95% inpatient), outpatient only (100% outpatient), or mixed practice.
Between 2008 and 2018, hospitalists increased from 25% to 40% and outpatient-only physicians increased from 23% to 38%, while mixed-practice physicians declined by 56% (from 52% to 23%).
By 2018, 71% of newly certified general internists worked as hospitalists, whereas only 8% entered outpatient-only practice.
Five-year practice retention was 86% for hospitalists and 95% for outpatient-only internists, but only 57% for mixed-practice clinicians.

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Implication

Retrospective cohort study shows a major shift toward hospitalist and outpatient-only careers in general internists, highlighting the decline of traditional mixed practice.

Cite This Study

Gray et al. (2022) studied this question.

synapsesocial.com/papers/6a1c38e400ee29383e9da372 https://doi.org/10.7326/m21-4636

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Implication

Retrospective cohort study shows a major shift toward hospitalist and outpatient-only careers in general internists, highlighting the decline of traditional mixed practice.

Evolving Practice Choices by Newly Certified and More Senior General Internists

Key Points

Discussion

Implication

Cite This Study

Evolving Practice Choices by Newly Certified and More Senior General Internists

Key Points

Discussion

Implication

Cite This Study

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