title: Physicians' views on how specialty-specific the first year of residency should be.
abstract: The nature of the first year of postgraduate medical education has gone through many changes over the years. Relatively recent changes have made this first year into a specialty-specific experience. Medical students are increasingly experiencing a narrowed and less broad-based clinical education. Many students, residents, and attending physicians complain that they wish they had had a "rotating" or "flexible" internship. Graduate medical education authorities have recently recommended that the internship year return to a broad-based general medical education experience. In 1989, the authors surveyed the entire physician faculty and housestaff at a large academic health sciences center, asking them what type of first postgraduate year (PGY-1) the physicians had experienced themselves and what type of PGY-1 they recommended for future graduating medical students. Over one-third strongly recommended that the PGY-1 should be broad-based and not specialty-specific.
authors.affiliation: Division of Emergency Medicine, University of Virginia (UVA) School of Medicine, Charlottesville 22908.
authors.forename: T P
authors.initials: TP
authors.lastname: Kuhlmann
authors.forename: W L
authors.initials: WL
authors.lastname: Fang
authors.forename: Y
authors.initials: Y
authors.lastname: Fan
mesh_terms: D001291:Attitude of Health Personnel; D002321:Career Choice; D005180:Faculty, Medical / Q000706:statistics & numerical data*; D006801:Humans; D007396:Internship and Residency / Q000458:organization & administration*; D008511:Medicine; D013038:Specialization; D011795:Surveys and Questionnaires; D014768:Virginia