December 12, 1986

Immune Response

Author Affiliations

San Francisco

JAMA. 1986;256(22):3088. doi:10.1001/jama.1986.03380220054009

Much has been said about acquired immunodeficiency syndrome (AIDS). We here in San Francisco, and especially at the University of California, San Francisco, School of Medicine, take for granted the deluge of information we receive on this protean disease. But one aspect of AIDS really hasn't been talked about much—its effect on medical residents and students.

The extent to which AIDS dominates the medical training at UCSF can be seen in the caseload of any medical resident at the San Francisco General Hospital—often more than 50% AIDS related. The abrupt crescendo of AIDS cases has focused tremendous pressures on the quality of medical education now that so much of the teaching and training must be oriented toward the care of a unique group of patients. And the future would seem to hold only more AIDS cases for years to come.

In addition to educational demands, dealing with AIDS patients has