Dr. Edgar J. Schoen, Oakland, Calif: What is the appropriate and practicable role of the medical school in the delivery of comprehensive medical care on a large-scale basis?
The fundamental functions of the medical school are teaching and performing research in the principles and practice of medicine. The medical care given by medical schools has traditionally been limited to patients who exemplify pathology application of therapeutic principles, and responses to therapy, thus serving to teach medicine. The medical school cannot render comprehensive care on a large scale to a large population. The faculty is too busy teaching and doing research to concern itself with on-going, detailed, personal relationships to patients. Medical students and house staff are mobile and cannot supply continuity of care. That medical care which is given tends to be fractionated.
In order to teach comprehensive care it would seem that the medical school should welcome affiliation with