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Am J Dis Child. 1968;116(5):517-524. doi:10.1001/archpedi.1968.02100020521011.
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Dr. William B. Weil, Jr., Gainesville, Fla: One area that hasn't been touched on directly, but which has plagued me recently, is the definition of the goals that we are attempting to achieve by undertaking programs of comprehensive, continuous, and competent community care.

It is predictable that over the next five to 15 years many changes will take place in communities and many changes in the form of practice will occur. If these do take place, we must examine the goals we are striving to attain from new exposures and experiences that hopefully will carry the student, then the physician, on to performing even more fruitfully as a physician in the changing environment he will then meet.

Dr. Robert J. Haggerty, Rochester, NY: We need to teach students to be agents of change. I think the major goal is that they should learn how to move the system and move


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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.
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