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December 10, 1982

Family Practice Residents on Specialty Services

Author Affiliations

Fairview General Hospital Cleveland

JAMA. 1982;248(22):2971. doi:10.1001/jama.1982.03330220017016

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To the Editor.—  The contribution to A PIECE OF MY MIND from G. Jan Hinnen, MD (1982;248:590), prompted me to submit my own contribution.As a teacher of family practice residents, I understand that family practice is a specialty devoted to the continuity of care of the family as a unit. However, to provide this care competently, family practice residents must spend a great deal of their educational time on specialty services, eg, medicine, pediatrics, surgery, and obstetrics and gynecology.Specialists who teach family practice residents often expect the residents to devote themselves full time to the specialty service, with no distraction from family practice clinics or hospital rounds. However, we do not consider family practice to be simply a sum of the many specialties of medicine. Rather, evidence of full-time commitment to a service is seen as a necessary part of the educational experience involved in seeing a problem