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January 1990

The National Resident Matching Program

Arch Intern Med. 1990;150(1):221-225. doi:10.1001/archinte.1990.00390130177034

To the Editor.—The continued decrease in the number of US medical school graduates selecting a career in internal medicine1,2 will exert a negative effect on the status and future of (continued on p 225.)

(continued from p 221.)

the specialty should this trend not be reversed.3 This decline in interested applicants has led to malaise among internists. Signs of malcontentment perceived through the eyes of medical students will only cause those eyes to look elsewhere. Rather than reminisce about the joys of bygone days when internal medicine was the queen of specialties, we must take steps to remedy the trouble at hand.

Problems of litigation, third-party payments, and the acquired immunodeficiency syndrome epidemic are not unique to internal medicine, and must be addressed by all physicians. For internal medicine, the heart of the problem lies in the perceived stature and contribution of the internist. From a student