What has happened to physicians and their desire to help their fellow man? These feelings motivated the majority of those individuals who were willing to become indentured for life to obtain a medical degree. Today many of these once highly motivated individuals have wondered how they have been so completely mislead. Probably none more so that the individual who chose Internal Medicine as a specialty.
In debt after a long internship and residency, particularly the physician who wanted to be an internist finds him or herself with poor prospects of attaining a reasonably good position financially. The physician who wanted to become an internist has fared considerably worse than most other specialties. Today, instead of entering the realm of medical care with the illusion of a lofty medical practice, they find themselves preyed upon by the economic institutions that determine how physicians can practice. Their “jobs” demand that they see a minimum number of patients a day in a clinic or work as a "hospitalist” who sees all in-patients at the hospital and has no follow-up.
The result of the above situation is there is a marked diminution in the desire of anyone to get into and then stay in a practice of “internal medicine”. Financially internal medicine has some real problems. To get out of this situation many physicians who opted for internal medicine have found that the best solution is to get into a subspecialty or some other occupation entirely. The training programs that trained “internists” have found that many have found other forms of practice or even other occupations. The allure of a practice of “Internal Medicine” has become quite tarnished.