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Letters
March 18, 1998

Controversies: The Role of HIV Specialists

Author Affiliations
 

Margaret A.WinkerMD, Senior EditorIndividualAuthorPhil B.FontanarosaMD, Senior EditorIndividualAuthor

JAMA. 1998;279(11):833-835. doi:10-1001/pubs.JAMA-ISSN-0098-7484-279-11-jac80001

To the Editor.—The recent Controversies1,2 challenge the expertise of primary care physicians to care for HIV-infected patients because of the explosion of knowledge about HIV and highly active antiretroviral therapies (HAART). Although the authors argue from the findings of Kitahata et al3 that practice makes perfect, Kitahata and colleagues3 themselves caution about generalizing nationally from 1 Seattle health maintenance organization's experience with 403 white men. They wisely conclude that patient care is best served by ". . . health care delivery and training for physicians . . . at all levels of experience. A combination of generalist and specialist care may be effective in managing the complex medical conditions associated with AIDS."3

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