Letters Section Editor: Robert M. Golub,
MD, Senior Editor.
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.
Holman HR. Medical Education and Chronic Disease—Reply. JAMA. 2004;292(24):2974-2976. doi:10.1001/jama.292.24.2975-c