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December 22/29, 2004

Medical Education and Chronic Disease—Reply

Author Affiliations

Letters Section Editor: Robert M. Golub, MD, Senior Editor.

JAMA. 2004;292(24):2974-2976. doi:10.1001/jama.292.24.2975-c

In Reply: I appreciate and largely agree with the comments made by the writers of these letters. They underscore the complexity and scope of the issues involved in caring for patients with chronic disease, and they extend the consideration beyond medical education into the health care crisis and health policy. That is appropriate because the issues are intertwined. But developing a different way to practice medicine for chronic disease is at the heart of any solution to the problem. By failing to train students well for this practice, medical education is perpetuating the crisis.

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