[Skip to Content]
[Skip to Content Landing]
September 1995

Career Choice in One General Pediatric Title VII–Supported Residency

Author Affiliations

From the Division of General Pediatrics, Department of Pediatrics, Boston (Mass) University School of Medicine and Boston City Hospital (Drs Alpert, Bauchner, Pelton, Siegel, and Vinci), and Boston University School of Public Health (Ms Levenson).

Arch Pediatr Adolesc Med. 1995;149(9):1019-1021. doi:10.1001/archpedi.1995.02170220085011

The concern that there are too few generalist physicians and too many specialists is part of the ongoing health care debate. Medical educators have been challenged at the graduate and undergraduate levels to educate more generalists. While some question the actual effect of medical education on the choice of a generalist career, others strongly express the view that a generalist curriculum influences graduates to pursue a career in primary care.1,2 Residency training programs are largely based in hospitals, and pediatric practice is largely community based. The terms educational malpractice, educational mismatch, and, most recently, educational dysjunction have been used to describe the difference between the educational and practice experience.3