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July 21, 1978

The Oslerian Tradition

Author Affiliations

University of South Dakota School of Medicine Yankton, SD

JAMA. 1978;240(3):211. doi:10.1001/jama.1978.03290030029004

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To the Editor.—  It was distressing to see the commentary "The Weakening of the Oslerian Tradition," with the subtitle "The Changing Emphasis in Departments of Medicine" (239:317, 1978) by William Regelson, MD. It clearly specifies a viewpoint that is not shared by many internists throughout the United States.I am a physician who is in a private practice of internal medicine and who has deliberately opted to affiliate with a university medical school with teaching on a part-time basis for the department of medicine, as well as to share other responsibilities in both private practice and patient care at state health facilities.In South Dakota, unlike Virginia, it has become a tradition that the attending physician is the physician presented as the role model for the medical student. In South Dakota, perhaps unlike Harvard, we are completely convinced that we must train physicians for primary care medicine, and certainly internists,