The American Board of Internal Medicine appreciates more than most the "dilemma" in which internal medicine finds itself.1 In setting standards for subspecialists the Board was responding to a trend set in motion 20 years earlier. Its erstwhile Chairman, Dr. Petersdorf, articulate and well informed, accepts on behalf of the Board more guilt for subspecialization than other emeriti and current members do. But the Board does not challenge his facts.Also convinced that too many positions are offered in the United States for the training of clinical subspecialists in internal medicine, the Board has repeatedly and exhaustively re-examined its policies . . .
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Reitemeier et al. (1978) studied this question.
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