Abstract
Abstract Government, which increasingly supports all medical education, will exert financial leverage so that the medical needs of the public are satisfied. Although the total number of physicians required in the future is controversial, the proportion of specialists will decline in favor of physicians trained to provide primary care. To train such physicians, medical schools must not sacrifice quality or try to turn out two classes of physicians. Rather, students must continue to be educated in the scientific method, but they should also have a clinical indoctrination oriented to the care of ambulatory rather than hospitalized patients. Thus, on graduation, they will be equipped to enter either postgraduate training programs for primary physicians or programs for specialists as determined by the needs of the public. (N Engl J Med 291:553–556, 1974)
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