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Specialists who cannot see the forest for the trees and family physicians who cannot see the trees are both in error, yet Dr Gillette's comments about "orientation" and "specific education" are incorrect. Pediatricians do not lack specific education in behavioral medicine and family dynamics. My residency program at Galveston, Tex, included a six-month program in which one third to one half of the time was spent in these areas. The American Academy of Pediatrics from its inception has stressed treating the whole child and has been one of the leading forces in all aspects of child advocacy. The family physician has nothing extra to offer in this area. Compassionate specialty care is the ideal.
Hoffman JE. Reimbursement of Physicians-Reply. JAMA. 1982;247(22):3081. doi:10.1001/jama.1982.03320470029018
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