MARTIN F. STEIN JR., M.D.; ANTHONY E. MANISCALCO, M.D.
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To the editor: Doctor Alvin R. Tarlov's letter (Ann Intern Med 80:780-781, 1974) has accurately outlined some important problems with educational programs in internal medicine. The fragmentation of internal medicine, particularly as it relates to the clinic patient population, is disturbing. Many patients are shifted from one specialty clinic to another, receiving uncoordinated care in as many as eight clinics. Too often each specialist is only interested in his small sphere of medicine. No one bothers to look at the patient as a whole or in the context of his family unit. Fragmented medical care also often exists in separate
STEIN MF, MANISCALCO AE. General Internist and Family Practitioner. Ann Intern Med. ;81:713–714. doi: 10.7326/0003-4819-81-5-713_2
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Published: Ann Intern Med. 1974;81(5):713-714.
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Print ISSN: 0003-4819 | Online ISSN: 1539-3704
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