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Primary Practice Experience and Academic Generalists

Am J Dis Child. 1985;139(7):648. doi:10.1001/archpedi.1985.02140090010002.
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Sir.—As an academic generalist in a university department of pediatrics, I read Dr Stein's recent editorial1 with interest. I agree with him that too few of my colleagues in various institutions are engaged in primary practice experience during their busy week. Often the teaching load is so burdensome that one's own patients are given short shrift. Dr Stein made no mention that one of the major reasons for being engaged in continuing practice is the credibility it lends the teacher in the eyes of the student or resident. On the other hand, overreliance on "a-case-I-saw" teaching—whether that case was last week or ten years ago—leads to teaching based on anecdotes and not on data.

There are, in fact, too little data currently available that relate to common, everyday general pediatrics, and it is here that I feel the academic generalist must take the lead. Research is the side


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