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Comparing Apples With Oranges
Arch Intern Med. 1998;158:1591-1592.
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Can't live with ‘em and can't live without ‘em— Woody Allen, Annie Hall
DONOHOE'S COMPREHENSIVE and scholarly review1 of generalist and specialty care is welcomed as both sides have lined up and traded volleys regarding their own abilities and the shortcomings of the other. The motivations for this are complex but involve egos and money (ie, marketplace share), a dangerous combination for rational thought. Herein I address generalism as it exists in the internal medicine model as I am less familiar with the other disciplines and types of generalists. I am well qualified to wax rhapsodic on this topic having been trained as a gastroenterologist in the 1970s and retrofitted as a generalist in the 1980s. As I reflected on Donohoe's article in this issue of the ARCHIVES, my comments are based on several assumptions derived through observation.
ASSUMPTIONS
Not Intended to Function IndependentlyThe Uncertainty Principle Current Training Model Is Less Than Ideal Emphasis on Outcome Not Process
RELATED LETTER
Generalist and Specialty Care
Thomas L. Schwenk and Martin Donohoe
Arch Intern Med. 1999;159(8):883-884.
EXTRACT
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RELATED ARTICLE
Comparing Generalist and Specialty Care: Discrepancies, Deficiencies, and Excesses
Martin T. Donohoe
Arch Intern Med. 1998;158(15):1596-1608.
ABSTRACT
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THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES
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Comparing apples and oranges: a randomised prospective study
Barone
BMJ 2000;321:1569-1570.
FULL TEXT
Generalist and Specialty Care
Schwenk and Donohoe
Arch Intern Med 1999;159:883-884.
FULL TEXT
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