D. ANN VAUGHAN, M.D.
To the editor: The article by Kosecoff and colleagues (1) and the editorial by Huth (2) point out the deficiencies of some university hospitals in the primary care training of internists in the outpatient setting. These problems include lack of continuity of patient care, little time spent by housestaff and faculty in their clinic practice, lack of dedication to teaching and supervision of residents, and substandard quality of patient care. I would add the additional deficiencies of insufficient exposure of internal medicine residents to the care of less severely ill, more productive, more medically knowledgeable patients and insufficient exposure to
VAUGHAN DA. Preparing for the Practice of Internal Medicine. Ann Intern Med. ;102:724–725. doi: 10.7326/0003-4819-102-5-724_3
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Published: Ann Intern Med. 1985;102(5):724-725.
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