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The stated objective of the authors is to "propose a new approach to medical education in the primary and continuing care of ambulatory patients." In developing this concept, there is a large amount of historical, analytic, and normative material presented— sometimes not clearly differentiated. The plan consists of six distinct phases or steps: (1) career choice and commitment on graduating from high school, (2) selection on the bases of interest, aptitude, and personality, (3) two years of collegiate and some clinical "environments," (4) four years of a primary care track in medical school, including brief periods on hospital wards, (5) one year in an internship following graduation, and (6) continuing education. On completing this course of study, a person would be qualified to participate in a group or association of those involved with all levels of care. The area of specialization of the primary care physician would be that of
Hirsch LL. A Career in Primary Care. JAMA. 1977;238(8):896–897. doi:10.1001/jama.1977.03280090060031
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