Equal Rights for General Internists?
Ana Maria Lopez, MD, MPH, FACP
, Andrew Dunn, MD, MPH, SFHM, FACP
, and Darilyn V. Moyer,
Department of Medical Oncology, Sidney Kimmel Cancer Center, Thomas Jefferson University, Philadelphia, PA, USA;
Division of Hospital
Medicine, Mount Sinai Health System, New York, NY, USA;
American College of Physicians, Philadelphia, PA, USA.
J Gen Intern Med
© Society of General Internal Medicine 2018
he American College of Physicians (ACP) appreciates
theimportanceofCumbler’s qualitative study identifying
facilitators to academic success in early-career academic
hospitalists. With the anticipated critical shortage of academic
identifying and supporting physicians pursuing an
academic career in hospital medicine is timely and important.
Our reading of Cumbler’s article leads us to a different view
than that noted in the editorial “Equal Rights for General
Internists.” The editorial focuses on dedicated time for schol-
arship and highlights the time pressures in outpatient academic
medicine relative to hospitalists. Based on experiences shared
by our members, ACP is aware that ambulatory internists and
hospitalists are both burdened by documentation require-
ments, lab result reviews, and other necessary follow-
up—often completed after hours.
ACP agrees that ambulatory internists and hospitalists “are
vital to our collective missions” through contributions in edu-
cation, research, scholarship, and service. We believe the study
and editorial raise questions for future study that could guide
the development of an academic workforce structure that
would support scholarly endeavors more effectively.
ACP advocates for adequate time and resources for all
internists in academic and other settings to allow
internists to be successful and contribute to the essential
mission of their institutions. Our diverse practice set-
tings and specializations within internal medicine
strengthen us in our common goal to provide compas-
sionate care of adults across the spectrum from health to
complex illness. Supporting the professional needs of
hospitalists, general internists, and subspecialists will
strengthen internal medicine as a valued career path,
promote physician wellness and retention, and foster a com-
munity of internists focused on working together to meet the
needs of their patients. ACP urges the internal medicine com-
munity to work together to advocate for appropriate resources
to enhance the value of effectiveness of health care for the
good of our profession and our patients.
Corresponding Author: DarilynV.Moyer,MD,FACP;American
College of Physicians, 190 N. Independence Mall West, Philadelphia,
PA 19106, USA (e-mail: firstname.lastname@example.org).
Compliance with Ethical Standards:
Conflict of Interest: The authors have no conflicts of interest to
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