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Previous Volume 330:1453-1456 May 19, 1994 Number 20 Next

	Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

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Between the 1960s and the early 1990s, the evolution of subspecialty divisions in academic departments of internal medicine was characterized by an impressive blend of research, clinical and technological development, and educational growth. The subspecialties that developed highly specific bases of cognitive information, plus technically sophisticated procedural capabilities, became better defined and began to drift away from the parent specialty^1,2,3,4,5.

The glue that held departments of medicine together in the past was a unified definition of their academic mission. Now we face, for the first time, the loss of this sense of identity. This loss is not a natural . . . [Full Text of this Article]

Address reprint requests to Dr. Myerburg at the Division of Cardiology (D-39), Department of Medicine, University of Miami School of Medicine, P.O. Box 016960, Miami, FL 33101.

References

Related Letters:

The Structure of Departments of Medicine
Coats A., Kaplan H., Walker J. E.C., Myerburg R. J., Nolan J. P.
Extract | Full Text  
N Engl J Med 1994; 331:946-948, Oct 6, 1994. Correspondence

This article has been cited by other articles:

• Coats, A., Kaplan, H., Walker, J. E.C., Myerburg, R. J., Nolan, J. P. (1994). The Structure of Departments of Medicine. NEJM 331: 946-948 [Full Text]  
• Nolan, J. P. (1994). We Should Resist Efforts to Split Internal Medicine. NEJM 330: 1456-1457 [Full Text]