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February 10, 1993

The Supply of Rural Physicians

Author Affiliations

Nassau County Medical Center East Meadow, NY

JAMA. 1993;269(6):743. doi:10.1001/jama.1993.03500060043013

To the Editor.  —I wish to comment on the recent article by Rosenblatt et al.1 The statement "General surgeons—once very well represented in rural areas—are increasingly selecting urban practice locations40" meets all of the previously established criteria for a major quotation error.2 Dr Imbembo's cited article in reference 40 contains no discussion of the practice distribution of general surgeons.The statement "... but surgical education has itself become increasingly subspecialized" is erroneous and represents a total misunderstanding of the current thrust of surgical education. Surgical educators have developed curricula that include a generalist approach that is of particular benefit to students entering primary care. The Association for Surgical Education has worked to accomplish these goals in nearly every medical school, including the University of Washington, whose representatives are Drs Foy and Herman and Ms Coluccio.The final erroneous statement is a synthesis of the two previous ones: "The