Recently, I ended a 40-year career in the practice of primary care medicine. I did not stop because I was burned out or unable to continue. I stopped because I had too much respect for the profession. Primary care practice, done well, requires a high degree of mental agility. I wanted to stop before I became the medical equivalent of a former all-star baseball player and started batting .200 in the quality of my medical care.
I began my medical training around the same time as the establishment of the first primary care training programs. I was the first full-time primary care physician hired at my hospital. From my perspective primary care medicine always seemed under duress in one way or another.
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Zinn WM. Primarily Care. JAMA. 2020;323(1):27–28. doi:10.1001/jama.2019.20065
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