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November 5, 1955


Author Affiliations

U. S. N. R. U. S. S. Frontier (AD-25) % Fleet Post Office San Francisco.

JAMA. 1955;159(10):1052. doi:10.1001/jama.1955.02960270072023

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To the Editor:—  It was with considerable gratitude that I read Dr. Howard P. Lewis's address in the Aug. 20 issue of The Journal, page 1414, because he so succinctly expressed a conviction that I, and certainly many young doctors in my position, have sensed growing within. This is the plain need for a critical appraisal of what is and will be expected of us as future internists; where the real emphases in our training should be; and which of the diverse and ever-narrowing paths that are open to us are necessary, or even desirable, to follow in order to round out our skill—and only secondarily in order to pass the required examinations. I speak entirely for myself, but echo feelings voiced by many of my friends who express frank alarm at the attitude of superspecialization thrust at us in our recent years in medical school and thrust again as

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