Physician Training Outside the Hospital: Who Pays for the Future?

Editorials1 September 1987Physician Training Outside the Hospital: Who Pays for the Future?JOHN D. GOODSON, M.D.JOHN D. GOODSON, M.D.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-107-2-415 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptModern experiments in residency training outside the hospital have required a reorganization of traditional clinics (1). Although educational, practice, and social forces that initiated these innovations continue (2-4), the methods for achieving reform have not been clearly demonstrated and the willingness of society and the profession to support change has not been secured.In 1980, the General Medicine Group Practice Program of the Robert Wood Johnson Foundation Teaching Hospital provided seed money for 15 model academic primary care medical practices. The evaluations by the Rand Corporation reported by Kosecoff and associates (5, 6) and Brook and associates (7) offer a...References1. STOECKLELEAFGROSSMANGOROLL JAJA. A case history of training outside the hospital and its future. Am J Med. 1979;66:1008-14. CrossrefMedlineGoogle Scholar2. SCHROEDERSHOWSTACKGERBERT SJB. Residency training in internal medicine: time for a change? Ann Intern Med. 1986;104:554-61. LinkGoogle Scholar3. PERKOFF G. Teaching clinical medicine in the ambulatory setting. N Engl J Med. 1984;314:27-31. CrossrefGoogle Scholar4. SHINE K. Innovations in ambulatory-care education [Editorial]. N Engl J Med. 1986;314:52-3. CrossrefMedlineGoogle Scholar5. KOSECOFFFINKBROOK JAR. General medical care and the education of internists in university hospitals. Ann Intern Med. 1985;102:250-7. LinkGoogle Scholar6. KOSECOFFBROOKFINK JRA. Providing primary general medical care in university hospitals: efficiency and cost. Ann Intern Med. 1987;107:399-405. LinkGoogle Scholar7. BROOKFINKKOSECOFF RAJ. Educating physicians and treating patients in the ambulatory setting: where are we going and how will we know when we arrive? Ann Intern Med. 1987;107:392-8. LinkGoogle Scholar8. GOODSONGOROLLBARSKY JAA. The training of physicians outside the hospital. Am J Med. 1986;146:1805-9. Google Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAffiliations: PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics Cited byExperience with community academic practice: Strategies for the ambulatory education of residentsFinancing residency education in the ambulatory settingHow Can We Pay for Graduate Medical Education in Ambulatory Care?Correction: Incorrect Journal Name in Reference 1 September 1987Volume 107, Issue 3Page: 415-417KeywordsAcademic medicineForecastingHospital medicineResidency Issue Published: 1 September 1987 PDF downloadLoading ...