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—Drs Hensel and Gillette both make interesting and important comments about the subject of graduate medical education. I agree with Dr Hensel about the value of ambulatory medical care training for both medical students and residents, and for the reasons he lists. I am more hopeful now than ever before that some of the changes we both desire will come about in ways that will also preserve the very best of our present methods of medical education. We can be much stronger if we follow this path.Dr Gillette's points also are well taken. It certainly would be a mistake to lose what is best in family practice. This is equally true of the other primary care fields, an important point to keep in mind in developing a new and better single primary care specialty. Also, it is likely that there always will be differences of opinion about
Gerald T. Perkoff. Graduate Medical Education Confronted-Reply. JAMA. 1988;259(18):2696. doi:10.1001/jama.1988.03720180023020