Recruiting Quarterbacks: Strategies for Revitalizing Training in Primary Care Internal Medicine.

Current U.S. primary care workforce shortages and trainees' declining interest in primary care residency training, especially regarding primary care internal medicine, have many parallels with circumstances in the early 1970s, when modern adult primary care first emerged.

Differences between internists and family practitioners in the diagnosis and management of the same patient with coronary heart disease.

It has been suggested that internists and family practitioners have somewhat different "disease" perspectives, which may be generated by use of different explanatory models during medical training (pathophysiological vs. biopsychosocial, respectively). This article explores differences between internists and family practitioners in their suggested diagnoses, level of diagnostic certainty, test and prescription ordering, when encountering exactly the same "patient" with coronary heart disease (CHD).

Payment reform to support lasting practice reform in primary care.

Establishing and sustaining patient-centered medical homes will require new investments in primary care. The Payment Reform Task Force of the Patient-Centered Primary Care Collaborative consensus statement recommends a blend of different payment strategies for the majority of patients in a practice along with risk adjustment. It also recommends shifting focus to value, ensuring that the working environment for primary care is improved, optimizing administrative practicality and relying on pilots with systematic evaluation and review to evolve the best strategy.