Program Directors in Internal Medicine reports, Schroeder

During the past few years, the internal medicine com-munity has engaged in a serious discussion about the need to redesign internal medicine residency training to ensure that residents are prepared to provide high-quality care to the patients whom they are likely to encounter when they enter practice. In 2005, persons within the in-ternal medicine community published several articles (1–3) noting the need to reform certain aspects of internal med-icine training. That same year, the Society of General In-ternal Medicine issued a report (4) calling for the redesign of residency training. In 2006, the American College of Physicians (ACP) (5) and the Association of Program Di-rectors in Internal Medicine (6) acknowledged that rede-sign of internal medicine residency training was urgently needed and offered recommendations for the kinds of changes that should be adopted