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As a specialist who came from a general practice background, I have the highest regard for my colleagues in general medicine. I had meant to emphasize an environment of increasing constraints and stipulations, which makes it more difficult for all physicians to meet the more intimate and frequently time-consuming needs of patients. The physician's role has been "narrowed" in that outside forces increasingly influence the services available to a patient.I did not intend to compare one group with another, to suggest that all medical practice is (or should be) narrow in scope, or condone these trends. The generalists among us are to be applauded for their expertise in integrating the varying needs of patients.
Sutin JA. Outrage Corner: Generalists More General; Subspecialists More Subspecial-Reply. JAMA. 1991;265(3):357. doi:10.1001/jama.1991.03460030063023