Procedures becoming obsolete for internal medicine?

It’s looking that way. The ABIM looks to be phasing out procedures that are traditionally taught:

The authors distinguished between the types of procedures residents would be taught to do versus those that they would be taught about.In regard to the latter, we are told that for certain procedures, only what the ABIM refers to as “cognitive competence” will be required . . . Included in the set of procedures are several that many of us older internists consider basic internist activities: thoracentesis, abdominal paracentesis, naso-gastric intubation and lumbar puncture.

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