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Volume 15 (1)

Volume 15, Issue 1, March 1995
J Contin Educ Health Prof 1995; 15(1):23-30
ORIGINAL ARTICLES

Retraining Specialists for Primary Care: Exploring Issues at One Academic Medical Center
Robert G. Bing-You, MD
David E. Wennberg, MD, MPH
Jennifer E. Crichton, BS

A b s t r a c t

Issues in developing a retraining program for specialists at an independent academic medical center were investigated by means of a Delphi survey. Two focus groups of internal medicine subspecialists assessed their attitudes toward retraining. The Delphi group identified 17 areas that should be addressed (e.g., Needs Assessment of Specialists, Curriculum Development - Process and Methodology). The subspecialists were resistant to the idea of retraining, possibly secondary to their self-perceptions of having different intellectual needs and approaches to patient care compared with generalists. These results may be helpful to other institutions anticipating the need to retrain specialists as part of physician workforce planning. Additional studies will be required before retraining of specialists may be accepted as a reasonable option in health care reform.

Keywords: Attitudes; Delphi survey; focus group; retraining, specialists
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