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To the Editor.—
That obstetricians and gynecologists are primary care physicians for many women is a well-known fact in everyday medical practice. This reader is therefore confused by Pearson's statement that "it seems clear that a decision must be made to include the obstetrician and gynecologist as a primary physician, to assure accessibility of continuing care for the female population." Such already is the case.But Pearson leaves aside the question of whether this established practice should simply be continued or actively encouraged. Apparently, the American Board of Medical Specialties and the Association of American Medical Colleges have their doubts. (The American Medical Association, on the other hand, is willing to consider obstetrics and gynecology as a primary care area for existential reasons—perhaps as a way of answering critics who assert the existence of a primary care "crisis.")Let us acknowledge that the fall in birthrates, the relative oversupply of
Alper PR. Primary Care for Women. JAMA. 1975;233(11):1163. doi:10.1001/jama.1975.03260110021003