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Thomas L. Schwenk, MD

JAMA. 1992;268(3):356-358.

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

The specialty of family practice continues to change dramatically. Increased national emphasis on improving access to cost-effective health care services, and on teaching in the ambulatory setting, has increased the need for family physicians, as well as highlighted the importance of primary care research. The breadth and scope of family medicine is evident on review of recent clinical advances that directly affected clinical practice. Significant progress has been made in the management of most of the "top 20" diagnoses in family practice, which account for the medical complaints of half of a typical family physician's patients.¹ These developments have affected the care of patients with common clinical problems, health promotion and disease screening and prevention practices, and the provision of mental health care.

The Agency for Health Care Policy and Research has disseminated clinical practice guidelines for incontinence and pain management.² While politically controversial, these guidelines have not . . . [Full Text PDF of this Article]

Author Affiliations
University of Michigan Medical School, Ann Arbor

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