Abstract
To the Editor.— In a recent article Babbott et al 1 document that almost 37% of students who entered medical school in 1983 planned careers in family practice but that when these same students graduated only 14% entered family practice residencies. Though causes for this shift away from family practice are many, the influence of the medical school environment is critically important. Clinical teaching faculty exercise a strong role modeling effect throughout medical school. 2 At most medical schools generalists have a limited role in medical education. As a result, trainees are unduly influenced by subspecialists to believe that specialization is advantageous and has higher status. Family practice residents perceive this influence as detrimental to choosing family practice. 3 University presidents and medical school deans must recognize that medical education has a powerful effect on medical students' specialty choices. Petersdorf 4 believes that too many students in medical training go
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