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Declining Interest in Internal Medicine-Reply

Michael T. Flannery, MD; Philip Altus, MD; Paul M. Wallach, MD
Arch Intern Med. 1993;153(9):1138. doi:10.1001/archinte.1993.00410090079012.
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We appreciate the comments by Miles et al. We agree that attending physicians play an important part as role models for medical students during their clerkship experience. Faculty members are perceived as important role models from the student perspective in their attraction to internal medicine as a career choice.1 Active participation of motivated teaching faculty and medical residents during the clerkship experience clearly plays a critical role in the career choice of our students.

As many programs have increased preliminary positions to maintain staffing needs, many training centers have developed preliminary track programs for these residents.2 We are impressed with the fact that your training program has attending faculty accessible on a 24-hour basis (including in-house) as part of the preliminary track program. This, obviously, provides important exposure to medical students who participate in this program and may stimulate their interest in internal medicine. Unfortunately, the in-depth faculty


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