We're unable to sign you in at this time. Please try again in a few minutes.
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
Commentary |

Sustaining Excellence in Pediatric Care

Dennis Rosen, MD
Arch Pediatr Adolesc Med. 2011;165(5):388-391. doi:10.1001/archpediatrics.2011.36.
Text Size: A A A
Published online


Concern about the shortage of primary care physicians in the United States has increased with the signing into law of the Affordable Health Care for America Act in March 2010.1 Susan Dentzer, editor-in-chief of Health Affairs, wrote in the May 2010 issue that “the nation's system of primary care is horribly broken, the victim of underinvestment, misaligned incentives, and malign neglect.”2 Indeed, less than one-third of physicians now work in primary care,3 which has led to disruptions in access to health care and the quality of care given. In 2007, the Massachusetts Medical Society4 reported that patients were waiting longer to see physicians and that teaching and community hospitals were finding it necessary to adjust the level of services provided because of physician supply problems, even though the physician to patient ratio in Massachusetts was and remains the highest in the country.5 Despite the growing need, fewer and fewer medical school graduates express interest in pursuing a career in primary care medicine.6

Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?

First Page Preview

View Large
First page PDF preview





Also Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
Please click the checkbox indicating that you have read the full article in order to submit your answers.
Your answers have been saved for later.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.


Some tools below are only available to our subscribers or users with an online account.

2 Citations

Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?

Related Content

Customize your page view by dragging & repositioning the boxes below.

See Also...
Articles Related By Topic
Related Collections
PubMed Articles

The Rational Clinical Examination: Evidence-Based Clinical Diagnosis

The Rational Clinical Examination: Evidence-Based Clinical Diagnosis
Pretest Probabilities and Likelihood Ratios for Clinical Findings