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The Malaise in Internal Medicine

The Malaise in Internal Medicine Abstract Internists today are discomforted by uncertainty of identity, governmental interference with practice, total responsibility for patients' health, and by waning of faith in science. As personal "caring" physicians, internists are secure in primary care but should maintain their distinctive scholarly leadership as master clinicians and consultants. Humanism and science are one in patient care. Future practice patterns depend on physicians themselves participating in policy decisions for inevitable controls and rationing of government financed health services. The public must understand that good health depends not only on physicians but also on a better society and what people are willing to do for themselves. Western culture has been shaken by the cruel paradoxes of progress and technology. But, human choice not science is at fault, and only wisdom in the use of science will save us. (Arch Intern Med 137:226-229, 1977) References 1. Ingelfinger FJ: League for beleaguered internists . N Engl J Med 292:589-590, 1975.Crossref 2. The Lawrence E. Young Festschrift . Arch Intern Med 135:1291-1370, 1975.Crossref 3. Warren JB: The legacy of Soma Weiss . N Engl J Med 286:658-659, 1972.Crossref 4. Beeson PB: Some good features of the British National Health Service . J Med Educ 49:43-49, 1974. 5. Engel GL: Identification, inspiration and learning . Arch Intern Med 135:1381-1383, 1975.Crossref 6. Braunwald E: Future shock in academic medicine . N Engl J Med 286:1031-1035, 1972.Crossref 7. Burnum JF: What one internist does in his practice: Implications for the internist's disputed role and education . Ann Intern Med 78:437-444, 1973.Crossref 8. Young LE: The broadly based internist as the backbone of medical practice , in Ingelfinger FJ, Ebert RV, Finland M, et al (eds): Controversy in Internal Medicine, II . Philadelphia, WB Saunders Company, 1974, pp 51-63. 9. Petersdorf RG: Internal medicine and family practice: Controversies, conflict and compromise . N Engl J Med 293:326-332, 1975.Crossref 10. McWhinney IR: Family medicine in perspective . N Engl J Med 293:176-181, 1975.Crossref 11. Farnsworth DL: Annual discourse-youth in protest . N Engl J Med 282:1235-1240, 1970.Crossref 12. Barondess JA: Some thoughts on academic medicine . Arch Intern Med 127:310-311, 1970.Crossref 13. Stead EA Jr: Medical care: Its social and organizational aspects: Postgraduate medical education in the hospital . N Engl J Med 269:240-244, 1963.Crossref 14. Engel GL: "The best and the brightest," the missing dimension in medical education . Pharos 36:129-133, 1973. 15. Burnum JF: Primary care within the academic tradition . JAMA 233:974-975, 1975.Crossref 16. White KL: Clinical scholars and health services . N Engl J Med 283:929-930, 1970.Crossref 17. Challenor BD, Wicks J, Lythcott GI: Community medicine: An evolving discipline . Ann Intern Med 76:689-695, 1972.Crossref 18. Hart JT: The marriage of primary care and epidemiology . J R Coll Physicians Lond 8:299-314, 1974. 19. Proger S: A career in ambulatory medicine . N Engl J Med 292:1318-1324, 1975.Crossref 20. Thomas L: Your very good health . N Engl J Med 287:761-762, 1972.Crossref 21. Mendelsohn R, McKnight J, Illich R: National health insurance and the people's health . Clin Pediatr 12:325-326, 1973. 22. Lalonde M: A New Perspective in the Health of Canadians . Ottawa, Canada, Ministry of National Health and Welfare, 1974, p 6. 23. Fuchs V: Who Shall Live? Health, Economics and Social Choice . New York, Basic Books Inc, 1974, p 55. 24. DuBos R: Mirage of Health: Utopia, Progress, and Biological Change . New York, Harper & Row, 1959, p 130. 25. Gingerich O (ed): The Nature of Scientific Discovery: A Symposium Commemorating the 500th Anniversary of the Birth of Nicolaus Copernicus . Washington DC, Smithsonian Institution Press, 1975. 26. Steiner G: In Bluebeard's Castle: Some Notes Towards the Redefinition of Culture . New Haven, Yale University Press, 1971. 27. Thompson F: The Mistress of Vision . Stanza XXII, 11 154-155. 28. Thomas L: The technology of medicine . N Engl J Med 285:1367-1368, 1971. 29. Rogers DE: On technologic restraint . Arch Intern Med 135:1393-1397, 1975.Crossref http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Internal Medicine American Medical Association

The Malaise in Internal Medicine

Archives of Internal Medicine , Volume 137 (2) – Feb 1, 1977

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Publisher
American Medical Association
Copyright
Copyright © 1977 American Medical Association. All Rights Reserved.
ISSN
0003-9926
eISSN
1538-3679
DOI
10.1001/archinte.1977.03630140074015
Publisher site
See Article on Publisher Site

Abstract

Abstract Internists today are discomforted by uncertainty of identity, governmental interference with practice, total responsibility for patients' health, and by waning of faith in science. As personal "caring" physicians, internists are secure in primary care but should maintain their distinctive scholarly leadership as master clinicians and consultants. Humanism and science are one in patient care. Future practice patterns depend on physicians themselves participating in policy decisions for inevitable controls and rationing of government financed health services. The public must understand that good health depends not only on physicians but also on a better society and what people are willing to do for themselves. Western culture has been shaken by the cruel paradoxes of progress and technology. But, human choice not science is at fault, and only wisdom in the use of science will save us. (Arch Intern Med 137:226-229, 1977) References 1. Ingelfinger FJ: League for beleaguered internists . N Engl J Med 292:589-590, 1975.Crossref 2. The Lawrence E. Young Festschrift . Arch Intern Med 135:1291-1370, 1975.Crossref 3. Warren JB: The legacy of Soma Weiss . N Engl J Med 286:658-659, 1972.Crossref 4. Beeson PB: Some good features of the British National Health Service . J Med Educ 49:43-49, 1974. 5. Engel GL: Identification, inspiration and learning . Arch Intern Med 135:1381-1383, 1975.Crossref 6. Braunwald E: Future shock in academic medicine . N Engl J Med 286:1031-1035, 1972.Crossref 7. Burnum JF: What one internist does in his practice: Implications for the internist's disputed role and education . Ann Intern Med 78:437-444, 1973.Crossref 8. Young LE: The broadly based internist as the backbone of medical practice , in Ingelfinger FJ, Ebert RV, Finland M, et al (eds): Controversy in Internal Medicine, II . Philadelphia, WB Saunders Company, 1974, pp 51-63. 9. Petersdorf RG: Internal medicine and family practice: Controversies, conflict and compromise . N Engl J Med 293:326-332, 1975.Crossref 10. McWhinney IR: Family medicine in perspective . N Engl J Med 293:176-181, 1975.Crossref 11. Farnsworth DL: Annual discourse-youth in protest . N Engl J Med 282:1235-1240, 1970.Crossref 12. Barondess JA: Some thoughts on academic medicine . Arch Intern Med 127:310-311, 1970.Crossref 13. Stead EA Jr: Medical care: Its social and organizational aspects: Postgraduate medical education in the hospital . N Engl J Med 269:240-244, 1963.Crossref 14. Engel GL: "The best and the brightest," the missing dimension in medical education . Pharos 36:129-133, 1973. 15. Burnum JF: Primary care within the academic tradition . JAMA 233:974-975, 1975.Crossref 16. White KL: Clinical scholars and health services . N Engl J Med 283:929-930, 1970.Crossref 17. Challenor BD, Wicks J, Lythcott GI: Community medicine: An evolving discipline . Ann Intern Med 76:689-695, 1972.Crossref 18. Hart JT: The marriage of primary care and epidemiology . J R Coll Physicians Lond 8:299-314, 1974. 19. Proger S: A career in ambulatory medicine . N Engl J Med 292:1318-1324, 1975.Crossref 20. Thomas L: Your very good health . N Engl J Med 287:761-762, 1972.Crossref 21. Mendelsohn R, McKnight J, Illich R: National health insurance and the people's health . Clin Pediatr 12:325-326, 1973. 22. Lalonde M: A New Perspective in the Health of Canadians . Ottawa, Canada, Ministry of National Health and Welfare, 1974, p 6. 23. Fuchs V: Who Shall Live? Health, Economics and Social Choice . New York, Basic Books Inc, 1974, p 55. 24. DuBos R: Mirage of Health: Utopia, Progress, and Biological Change . New York, Harper & Row, 1959, p 130. 25. Gingerich O (ed): The Nature of Scientific Discovery: A Symposium Commemorating the 500th Anniversary of the Birth of Nicolaus Copernicus . Washington DC, Smithsonian Institution Press, 1975. 26. Steiner G: In Bluebeard's Castle: Some Notes Towards the Redefinition of Culture . New Haven, Yale University Press, 1971. 27. Thompson F: The Mistress of Vision . Stanza XXII, 11 154-155. 28. Thomas L: The technology of medicine . N Engl J Med 285:1367-1368, 1971. 29. Rogers DE: On technologic restraint . Arch Intern Med 135:1393-1397, 1975.Crossref

Journal

Archives of Internal MedicineAmerican Medical Association

Published: Feb 1, 1977

References