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Clinical Notes
August 3, 1964

Next Step in Specialization

JAMA. 1964;189(5):378-380. doi:10.1001/jama.1964.03070050044018

EXPERIENCE should caution the unwary from making any sweeping predictions about the future of medical care. However, there is no evidence to indicate that the future will not be as fascinating as the past since our present accomplishments have been but a short prologue to things yet to come. If we fail to accurately predict the next 15 to 20 years, it will be because we have underestimated, not overestimated, the potential of this period.

During such moments of speculation, the physician naturally ponders his place in this mosaic. With understandable self-interest, he asks, "What are the trends which will affect me? Where will I fit in?" Obviously, the detailed answers for any individual cannot be predicted, but I think that, for certain groups, some reasonable forecast might be made. Although the usual public image of medicine reflects a composite view of all physicians, the separate roles played by various

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