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Kleczek and Baumert make 2 related and important points. They argue that residency work environment affects trainees' decisions to enter primary care and that residency training should reflect future practice. We agree on both counts. Residency training sites serve large numbers of poor, minority, and uninsured patients, and faculty are dedicated to insuring high-quality care. Yet, despite increasingly early exposure to patients and faculty, fewer students and residents pursue careers in primary care and even fewer work with underserved patients.1
Fiscella K, Epstein RM. Even More to Do and Even Less Time: Resident Education and the Future of Primary Care—Reply. Arch Intern Med. 2009;169(13):1241–1247. doi:10.1001/archinternmed.2009.189
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