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April 24, 1972

Distribution of Physicians

Author Affiliations

Park Ridge, Ill

JAMA. 1972;220(4):586. doi:10.1001/jama.1972.03200040098029

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To the Editor.—  In my opinion, the basic premise of Dr. Charles Aring's article on the distribution of physicians into rural as opposed to urban practice is challengeable and derogatory to the medical profession (21:606, 1972).Having spoken to many physicians who have left general practice to enter specialty training, it was not that they sought more income that they chose not to continue in rural practice. It was the constant "on-call" night and day, seven days a week, and the lack of educational and cultural opportunities for their families and themselves that influenced their decisions to seek further training. Young physicians do not choose isolated practices for similar reasons, and, in addition, they are more comfortable with the technological backup of the hospital medical center.Recommendations for regional primary care centers such as Dr. Bornemeier has proposed (219:359, 1972) might be of significant importance in solving the