Family medicine physicians are, in general, more assertive about their clinical roles, more enthusiastic about their educational responsibilities, and more excited about their research contributions than their general internal medicine counterparts. Their perceptions of the value of their clinical and academic activities differ so much that they seem to be strangers to one another despite the seeming similarity of what they do and where they do it. But more about that in a moment-first, a bit of self-obsession.Īs judged by the results of this study, academic family medicine and general internal medicine physicians appear to live in entirely different worlds, with very different views of their roles as well as their surroundings. 1 Through fairly detailed telephone interviews of academic physicians in family medicine and general internal medicine as well as of second-year residents and fourth-year medical students intending to pursue careers in those disciplines, Zinn and his colleagues create a picture of academic primary care that is disturbing, not only for those engaged in it but even more so for the academic medical centers in which the respondents work. They usually tell us more about the biases and needs of the surveyors than about truths related to the work. Career-satisfaction surveys are a peculiar form of self-obsession.
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