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July 1982


Author Affiliations

Baton Rouge, La

Arch Intern Med. 1982;142(7):1405-1406. doi:10.1001/archinte.1982.00340200175035

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To the Editor.  —The Archives is to be congratulated for their prime-time (editorial) presentation of Rothschild and Roth (1982;142:26-27). This dynamic duo disagrees on some of the approaches to the treatment of chronic rheumatic disease, although they both recognize that undergraduate and graduate medical training is woefully lacking in teaching continuing care of the chronically ill patient.The solution to the education problem should not be difficult. Students should participate on a continuing basis through medical school and through graduate specialties that require chronic disease treatment in a separate chronic disease clinic or department. The problem is that in the medical school-university hospital setting, attention is largely limited to learning to deal with emergency, catastrophic, and life-threatening situations. Chronic disease has no glamour, no clout, and no place to go.Until the concept of long-term management of diseases, eg, arthritis, diabetes, hypertension, and others, is taught in a continuing program

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