Abstract
With scientific advances in medical sciences over the years many new diagnostic as well as treatment modalities are developed with many patients getting quality of life which was not available before. On the other hand it is also observed that with advances in medical sciences the patient care is becoming more and more specialized and many new super specialty services coming up. As result of such fragmented medical services, it is not uncommon for patients to see several specialists who do not communicate with each other. One consequence of this is that the patient becomes a victim of the findings of examinations and the side effects [1]. There are few question related to it, first is , how may patient actually need super specialty services and second is whether general practitioners also known as family physician or family doctors, can take care many patient which are needlessly referred to more specialized services.
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