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Profiles in Primary Care
Fitzhugh Mullan, MD
JAMA. 1998;279:1115-1116.
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In this issue, JAMA inaugurates a new series entitled Profiles in Primary Care.1 The series, drawn from more than 70 oral histories of generalist practitioners that I have collected over the past several years, will report on the state of primary care medicine as seen through the lives and experiences of the men and women practicing it. The oral history project and the JAMA series, however, need to be set in historical context.
When this century began, the vast majority of American physicians were general practitioners treating, as well as they could, all of the maladies that patients brought to their doorsteps. They were, perforce, generalists wrestling with the medical, surgical, obstetrical, and psychiatric problems of people young and old, urban and rural, well-heeled and not-so-well-heeled. By current standards, their science was limited but they were present in significant numbers throughout the country, accepting payment in cash . . . [Full Text of this Article]
Dr Mullan is clinical professor of pediatrics and health care sciences at the George Washington University School of Medicine and Health Sciences, Washington, DC, and a contributing editor of the journal Health Affairs, which is published by Project HOPE, Bethesda, Md.
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