Margaret A.WinkerMD, Senior EditorIndividualAuthorPhil B.FontanarosaMD, Senior EditorIndividualAuthor
To the Editor.—The recent Controversies1,2 challenge the expertise of primary
care physicians to care for HIV-infected patients because of the explosion
of knowledge about HIV and highly active antiretroviral therapies (HAART).
Although the authors argue from the findings of Kitahata et al3
that practice makes perfect, Kitahata and colleagues3
themselves caution about generalizing nationally from 1 Seattle health maintenance
organization's experience with 403 white men. They wisely conclude that patient
care is best served by ". . . health care delivery and training for physicians
. . . at all levels of experience. A combination of generalist and specialist
care may be effective in managing the complex medical conditions associated
Strelnick AH, Futterman D, Carrascal A, et al. Controversies: The Role of HIV Specialists. JAMA. 1998;279(11):833–835. doi:10-1001/pubs.JAMA-ISSN-0098-7484-279-11-jac80001
Customize your JAMA Network experience by selecting one or more topics from the list below.
Create a personal account or sign in to: