Customize your JAMA Network experience by selecting one or more topics from the list below.
Recently, I ended a 40-year career in the practice of primary care medicine. I did not stop because I was burned out or unable to continue. I stopped because I had too much respect for the profession. Primary care practice, done well, requires a high degree of mental agility. I wanted to stop before I became the medical equivalent of a former all-star baseball player and started batting .200 in the quality of my medical care.
I began my medical training around the same time as the establishment of the first primary care training programs. I was the first full-time primary care physician hired at my hospital. From my perspective primary care medicine always seemed under duress in one way or another.
Identify all potential conflicts of interest that might be relevant to your comment.
Conflicts of interest comprise financial interests, activities, and relationships within the past 3 years including but not limited to employment, affiliation, grants or funding, consultancies, honoraria or payment, speaker's bureaus, stock ownership or options, expert testimony, royalties, donation of medical equipment, or patents planned, pending, or issued.
Err on the side of full disclosure.
If you have no conflicts of interest, check "No potential conflicts of interest" in the box below. The information will be posted with your response.
Not all submitted comments are published. Please see our commenting policy for details.
Zinn WM. Primarily Care. JAMA. 2020;323(1):27–28. doi:10.1001/jama.2019.20065
Create a personal account or sign in to: