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November 7, 1986

Hybridization of the Primary Care Disciplines

Author Affiliations

West Virginia University School of Medicine Morgantown

JAMA. 1986;256(17):2345. doi:10.1001/jama.1986.03380170061015

To the Editor.—  The articles and editorials in your May 16,1986, issue dealing with a better way to train primary care physicians fascinate me.1-4 The authors of one article proposed a four-year combined training program in family practice and internal medicine, so that the strengths and weaknesses of each field might complement and enhance the other.1There are already in the United States more than 75 programs offering a combined four-year residency leading to potential board certification in two primary disciplines—internal medicine and pediatrics.5 These programs were alluded to in Dr Geyman's2 option 2. The program I have personally been affiliated with for the last four years has a primary care emphasis and is partially funded by a federal grant designed to train primary care physicians. The combined medicine/pediatric residency program at West Virginia University (and our sister programs across the country) has experienced increasing growth