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Howard Schubiner, MD; Carole Lannon, MD, MPH; Lynn Manfred, MD

Arch Pediatr Adolesc Med. 1997;151(6):576-579.

Abstract
Objective
To determine what positions graduates of internal medicine–pediatrics programs currently hold.

Design
A survey of the program directors of residencies in internal medicine–pediatrics.

Participants
Program directors of the 85 internal medicine–pediatrics training programs listed in the 1993-1994 Graduate Medical Education Directory.

Main Outcome Measures
A 1-page survey that described the current positions of trainees graduating between 1987 and 1993.

Results
Seventy-four (87%) of the 85 program directors completed the survey. Of the 708 graduates reported on, 68% were practicing as generalists. The generalists of this cohort (n=480) were primarily in private practice settings (n=390, 81%) and most were practicing internal medicine–pediatrics (n=416,85%). Only 12% of the generalists had chosen to practice either pediatrics or internal medicine. Twenty-one percent of the total graduates had entered subspeciality training.

Conclusions
To our knowledge, the sample of 708 graduates is the largest survey of graduates of internal medicine–pediatrics programs to date and shows that 68% of graduates are practicing in primary care fields. Graduates of internal medicine–pediatrics programs should be considered as an important source of primary care physicians.

Arch Pediatr Adolesc Med. 1997;151:576-579

Author Affiliations
From the Departments of Internal Medicine and Pediatrics, Wayne State University, Detroit, Mich (Dr Schubiner); the University of North Carolina, Chapel Hill (Dr Lannon); and the University of Massachusetts, Boston (Dr Manfred).

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