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June 26, 1991

Principles of Ambulatory Medicine

Author Affiliations

Irving, Tex

Irving, Tex


edited by L. Randol Barker, John R. Burton, and Philip D. Zieve, 3rd ed, 1487 pp, $99, ISBN 0-683-00437-9, Baltimore, Md, Williams & Wilkins, 1991.

JAMA. 1991;265(24):3315. doi:10.1001/jama.1991.03460240113040

This important and timely third edition of a well-established text in ambulatory medicine is welcome. Although large and voluminous, it is thinner than the previous edition, owing to modern publishing techniques. The textbook essentially follows the format established in the two previous editions, with 15 sections of 102 chapters, the sections grouped clinically (eg, pulmonary problems, gynecologic problems).

The preface to the first edition set the stage for the text's most likely beneficiaries, and this edition continues the tradition: "This book is directed primarily toward the general physicians who care for adult ambulatory patients." Don't look for pediatrics, surgical techniques, or such.

The introductory chapter, as in past editions, defines and characterizes the distinct domain of ambulatory medicine. General and family physicians, as a group, will minister to about 30% of all patient office visits (based on 1985 data). An interesting quoted comment is Balint's: "... by far the most frequently