Career choice in one general pediatric Title VII--supported residency
J. J. Alpert, H. Bauchner, S. I. Pelton, B. Siegel, S. Levenson and R. Vinci
Department of Pediatrics, Boston (Mass) University School of Medicine, USA.
The concern that there are too few generalist physicians and too many
specialists is part of the ongoing health care debate. Medical educators
have been challenged at the graduate and undergraduate levels to educate
more generalists. While some question the actual effect of medical
education on the choice of a generalist career, others strongly express the
view that a generalist curriculum influences graduates to pursue a career
in primary care. Residency training programs are largely based in
hospitals, and pediatric practice is largely community based. The terms
educational malpractice, educational mismatch, and, most recently,
educational dysjunction have been used to describe the difference between
the educational and practice experience.
