INTERNISTS are good at such things as performing detailed physical examinations and solving complex diagnostic problems, but often they are not so good when it comes to providing an immunization program for their patients. Pediatricians, on the other hand, usually are very good at providing and documenting a complete immunization program for their patients.
The discrepancy between these practices is most noticeable when the medical care of a young adult is switched from a pediatrician to an internist. If the person has been under the care of a family practitioner (ie, general practitioner), a change of physician may not be needed, but for many young people, such a change occurs when they go away to college.
The practice of most internists is basically illness-oriented; recent interest voiced in preventive medicine has not changed this to any large extent. There have been statements recently that the internist is a "primary care
Hickman JW, Barness LA. Immunization Program for Adults. JAMA. 1977;237(2):129–130. doi:10.1001/jama.1977.03270290029020
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