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Nikitas J. Zervanos, MD
Lancaster General Hospital Lancaster, Pa

JAMA. 1993;270(8):939-940.

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

To the Editor.

—I agree with Dr Budetti's assertion that "the federal policy toward primary care often seems hopelessly inconsistent."1 Nearly 30 years ago, the American Medical Association authorized a group of prominent citizens outside medicine to take a look at our medical education system and how it might be more responsive to America's health care needs.² This citizens' commission proposed, among other policy changes, the creation of a new specialist who could more effectively assure the American people comprehensive health care services, and make it easier for people to enter the health care system.²

It was predicted that there would be resistance from some quarters of the academic medical community, and although nearly 85% of our medical schools have departments or divisions of family practice, to this day, 15% do not. Well, it took nearly 50 years for the recommendations of the Flexner report to be fully . . . [Full Text PDF of this Article]

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