Norman J. Dreher, MD
To the editors: Your editorial (1) spurred me to write. I am very pleased to see someone support continued general medical care. I agree with you that the subspecialization of medicine has resulted in a fractionation of care.
General internists must continue to provide comprehensive care for common diseases, such as hypertension, rheumatoid arthritis, and diabetes. Many of our peers are now referring cases to subspecialists because of fear of medical-legal repercussions and because of a general loss in their knowledge, because of their practice of frequent referral.
Further reward for providing comprehensive care is necessary; nowadays, it is difficult
Dreher NJ. The General Internist—Another Dinosaur?. Ann Intern Med. ;116:606. doi: 10.7326/0003-4819-116-7-606_1
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Published: Ann Intern Med. 1992;116(7):606.
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