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Book and Media Reviews
December 26, 2012

Out of Practice: Fighting for Primary Care Medicine in America

Author Affiliations

Book and Media Reviews Section Editor: John L. Zeller, MD, PhD, Contributing Editor.

Author Affiliations: Master's Program in Public Health, University of El Salvador School of Medicine, San Salvador, and Department of Family Medicine, Oregon Health & Science University, Portland (

JAMA. 2012;308(24):2626. doi:10.1001/jama.308.24.2626-a

Although this book provides an engrossing account of many issues common to the community practices of generalist physicians, reading it was a challenge. Whereas I like to reflect on the joys inherent in the work of primary care medicine,1 Frederick Barken focuses on its frustrations. We clearly approach this work from 2 distinctly different perspectives: for one the glass is half full, for the other it is half empty.

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