The number, nature, and distribution of generalist physicianswill be a focus of considerable attention as we restructureour health care system. Inner cities and rural areas have toofew of them, growing health maintenance organizations find itincreasingly difficult to hire enough of them, and progressivelyfewer graduating medical students are selecting careers in primarycare. In internal medicine in particular, the generalist isbecoming an endangered species. For nearly two decades, trainingprograms in internal medicine have been producing more subspecialiststhan generalists, and the disproportion persists1,2. To createsufficient numbers of general internists, it is generally . . . [Full Text of this Article]
References
Related Letters:
Problems in Primary Care
Shurin S. B., Distenfeld A., Zucker R. S., Zucker J. G., Marmon L. M., Czegledy F., Miele A., Fine A. L., Yealy D. M., Plotzker R. M., Siwek J., Pearson H. A., Stockman J. A., Kieliszek F. X., Petersdorf R. G., Fitzgerald F., Levinsky N. G.
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N Engl J Med 1993;
329:728-732, Sep 2, 1993.
Correspondence
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