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Training Primary Care Physicians

Michael Karpf, MD; and Gerald S. Levey, MD
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Requests for Reprints: Michael Karpf, MD, Department of Medicine, University of Pittsburgh, 1255 Scaife Hall, Pittsburgh, PA 15261.

Current Author Addresses: Dr. Karpf: Department of Medicine, University of Pittsburgh, 1255 Scaife Hall, Pittsburgh, PA 15261. Dr. Levey: Sr. Vice President, Medical & Scientific Affairs, Merck & Co., P.O. Box 2000, R-33-78, Rahway, NJ 07065-0900.

Ann Intern Med. 1992;116(6):514-515. doi:10.7326/0003-4819-116-6-514
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In response to a perceived need for an increase in primary care services, Congress passed the Health Professional Educational Assistance Act (PL 94-484) in 1976. This legislation stimulated the development of organized primary care programs that emphasized teaching in ambulatory care settings; psychosocial issues; and, most importantly, a defined curriculum. In this issue, Noble and colleagues (1) essentially give a 10-year progress report on the effects of this legislation. Their data suggest that, compared with graduates from categorical programs, these graduates tend more often to select careers in primary care; to have at least equal, and possibly greater, success in


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