A wide spectrum of specialists and generalists are now deliveringcare of increasing complexity for patients infected with thehuman immunodeficiency virus (HIV). Few of these physicianshave had any formal training in what is, in many respects, anew multidisciplinary medical specialty. Within health careorganizations, there is often little coordination among practitionerswho treat HIV-infected patients. In some systems, such patientsare intentionally "mainstreamed" by assigning their care togeneralists regardless of the experience or training of thephysicians or their interest in this disease. When this happens,important recent advances in management may never reach thepatients.
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