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—We certainly agree with Dr Katz that the ambulatory sector of the health care system should be a full partner in the future education of young physicians, as well as in research and patient care generally. If we failed to communicate this viewpoint, we regret it. The reason for any misunderstanding may lie in our decision to address our recommendations for change to the "academic medical center," which connotes in many minds the hospital-oriented educational and scientific institutions that have dominated academic medicine for the last 50 years. Change must begin somewhere, and given where we start in academic medicine today, the academic medical center should logically play a role in reforming medical education, including the development of a vital ambulatory educational enterprise. As for what the ambulatory academic enterprise should look like in 20 years and what precise role community settings ought to play, we can only urge Dr
Blumenthal D, Thier SO. Where Will Managed Care Fit in Medical Education?-Reply. JAMA. 1997;277(13):1038. doi:10.1001/jama.1997.03540370028029