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March 3, 1993

Promoting Primary Care: Where to Start?

JAMA. 1993;269(9):1111. doi:10.1001/jama.1993.03500090047017

To the Editor.  —As a graduate of Mount Sinai School of Medicine, New York (class of 1979) and the director of the family medicine residency program of Highland Hospital and the University of Rochester, I turned with interest to the article by Dr Stimmel.1I became a family physician in spite of my experience at Mount Sinai, not because of it. While I received an excellent clinical education, my exposure to primary care, let alone family medicine, was minimal. In addition to the absence of primary care exposure, the values imbedded in the process of medical education were clear. I remember members of the administration telling us with pride that our institution was in the business of training subspecialists. I took to subterfuge in my fourth year when asked about plans for my residency training. I was vague about my residency choices rather than submitting to the onslaught that followed