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March 3, 1993

Promoting Primary Care: Where to Start?-Reply

JAMA. 1993;269(9):1112. doi:10.1001/jama.1993.03500090047021

In Reply.  —The decreasing number of graduates from US medical schools entering primary care fields is of increasing public concern.At the onset of the article, two points were made. Primary care included family practice, general internal medicine, and general pediatrics, recognizing that a community might best be served by any one or more of these specialties. No value judgment was placed on any field over any other. Second, regardless of how primary care is defined, "all schools should have clerkships in primary care, as this is an essential part of an undergraduate medical education," with "attractive role models and effective curricula."Diversity among schools in producing family practitioners or general internists and pediatricians is a strength not a weakness. As an example, with respect to Dr Naumburg's comments concerning graduates of the Mount Sinai School of Medicine, in the class of 1992, although only 4% entered family practice residencies,