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General Pediatrics Declines, General Practice Rises

Paul C. Sorum, MD, PhD

JAMA. 1998;280:1099-1101.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

INTRODUCTION

THE FRENCH medical system is characterized by a distinction between 2 tiers of physicians: generalists and specialists.^1-4 This distinction is founded on the way physicians are trained. Postgraduate medical education in France has 2 unequal tracks.⁵ The 40% to 50% of the medical students who, at the end of medical school, pass the rigorous entrance examination to the internat (the residency track to train specialists) have higher status than those who enter the generalist track (the résidanat). Specialists also spend a longer time in residency training than do generalists (4-5 years as opposed to 2.5 years), earn more money when they enter practice, and have the possibility of becoming academic physicians. Most of the clinical training of medical students and residents, even of future generalists, occurs within university hospitals and to a lesser extent nonuniversity hospitals under the tutelage of specialists and subspecialists. Except . . . [Full Text of this Article]

THE ABSENCE OF GENERAL INTERNAL MEDICINE

THE DECLINE OF GENERAL PEDIATRICS

THE RISE OF THE GENERALISTS

CONCLUSION

From the Departments of Medicine and Pediatrics, Albany Medical College, Albany, NY.

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