GuidelineJournal of general internal medicine2004
The future of general internal medicine. Report and recommendations from the Society of General Internal Medicine (SGIM) Task Force on the Domain of General Internal Medicine.
Guideline in Journal of general internal medicine, 2004. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 39 papers.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
39 citing papers in PubMed, 113 citations in OpenAlex.
- Research Trends in General Medicine: A Domain-Based Bibliometric Analysis of Three Leading Generalist Journals.Cureus · 2025Review
- Bringing Generalists to Global Health: a Missed Opportunity and Call to Action.Journal of general internal medicine · 2024Article
- Bridging the Language Gap: The Role of Human-Mediated Translation in Japanese Medical Settings.Cureus · 2023Article
- The Spectrum of Harm Associated with Modern Medicine.Journal of general internal medicine · 2022Article
- Which procedures are performed by general internists practicing primary care in Germany? - a cross-sectional study.BMC family practice · 2020Article
- The Evolution of General Internal Medicine (GIM)in Canada: International Implications.Journal of general internal medicine · 2017Review
- Publication Rates of Abstracts Presented at the Society of General Internal Medicine Annual Meeting.Journal of general internal medicine · 2017Article
- Women's Health Fellowships: Examining the Potential Benefits and Harms of Accreditation.Journal of women's health (2002) · 2015Review
- Disengaged: a qualitative study of communication and collaboration between physicians and other professions on general internal medicine wards.BMC health services research · 2013Article
- Providing premedical students with quality clinical and research experience: the Tobacco Science Scholars Program.WMJ : official publication of the State Medical Society of Wisconsin · 2013Article
- General internal medicine as an engine of innovation.Journal of general internal medicine · 2013Article
- Training Tomorrow's Comprehensive Primary Care Internists: A Way Forward for Internal Medicine Education.Journal of graduate medical education · 2013Article
- Academic general internal medicine: a mission for the future.Journal of general internal medicine · 2013Review
- Integrated care of refugees in a primary care residency clinic.Journal of graduate medical education · 2012Article
- Improvement happens: doctors talk about the medical home. An interview with Charles Mayer, MD, MPH and Eric Seaver, MD. Interview by Robert J. Reid and Eric B. Larson.Journal of general internal medicine · 2012Article
- A reemerging political space for linking person and community through primary health care.American journal of public health · 2012Article
- The role for clinician educators in implementing healthcare improvement.Journal of general internal medicine · 2010Article
- Race and shared decision-making: perspectives of African-Americans with diabetes.Social science & medicine (1982) · 2010Article
- Defining and measuring the patient-centered medical home.Journal of general internal medicine · 2010Article
- Cancer survivorship care for the general internist: have we paved the way for a smoother transition?Journal of general internal medicine · 2009Article
Corrections and comments
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Authors and funding
11 authors at 10 institutions in 3 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
The Society of General Internal Medicine asked a task force to redefine the domain of general internal medicine. The task force believes that the chaos and dysfunction that characterize today's medical care, and the challenges facing general internal medicine, should spur innovation. These are our recommendations: while remaining true to its core values and competencies, general internal medicine should stay both broad and deep-ranging from uncomplicated primary care to continuous care of patients with multiple, complex, chronic diseases. Postgraduate and continuing education should develop mastery. Wherever they practice, general internists should be able to lead teams and be responsible for the care their teams give, embrace changes in information systems, and aim to provide most of the care their patients require. Current financing of physician services, especially fee-for-service, must be changed to recognize the value of services performed outside the traditional face-to-face visit and give practitioners incentives to improve quality and efficiency, and provide comprehensive, ongoing care. General internal medicine residency training should be reformed to provide both broad and deep medical knowledge, as well as mastery of informatics, management, and team leadership. General internal medicine residents should have options to tailor their final 1 to 2 years to fit their practice goals, often earning a certificate of added qualification (CAQ) in special generalist fields. Research will expand to include practice and operations management, developing more effective shared decision making and transparent medical records, and promoting the close personal connection that both doctors and patients want. We believe these changes constitute a paradigm shift that can benefit patients and the public and reenergize general internal medicine.
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What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.