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I am in total agreement with Dr Beasley's statement about the practicing physicians in the rural areas of our communities in Minnesota being "the best personnel to teach students how to provide comprehensive and continuing care for patients in 'real world' settings." He states that the dilemma of looking at "confidence vs competence" is indeed a real one. We are attempting to develop reproducible measures for examining medical student and physician performance in ambulatory primary care settings. We were unable to document this because of an editorial request to shorten the article and eliminate some of the variables (50) that we did measure. We do not know of any effort within the medical school academic setting that evaluates students' management skills in the practice setting. If there are, we certainly would be anxious to find out more about these evaluations from others.
Verby JE. Teaching Primary Care Medicine-Reply. JAMA. 1982;247(3):305. doi:10.1001/jama.1982.03320280027020
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