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February 1989

Residency Training in General Pediatrics: Career Direction of Primary Care Graduates

Author Affiliations

From the Department of Pediatrics (Drs Mathieu, Alpert and Pelton), Boston City Hospital, Boston University School of Medicine.

Am J Dis Child. 1989;143(2):217-219. doi:10.1001/archpedi.1989.02150140111031

Residences in primary care pediatrics have been developed as part of a national effort to educate pediatricians as generalists. Incentives provided by the federal government through Title VII, Section 784 of the Public Health Service Act (P.L. 94-484) have also provided support for residency training in family practice and general internal medicine.

Two assumptions have been made in developing these residencies. First, the programs would offer training in general pediatrics, community health, psychosocial medicine, and the "new morbidity," categories presumed lacking in usual graduate medical education; and second, participation would influence residents to choose and to continue in primary care careers as generalists.

Career choice has been evaluated by tracking the graduates of primary care programs.1-3 Such data have proven useful in evaluating the success of the federal effort, and have indicated that residents trained in federally funded primary care programs were pursuing

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