At the beginning of the present century, hospital-based medical practice was in its infancy. Physicians spent little time in a hospital setting. However, in those days no one was limited in their hospital practice. Commencing with the Flexner Report in 1910 (6), reorganization in all areas of medical education and practice occurred. The concept of specialization began with the American Board of Ophthalmology in 1917 and has since continued. The conventional general practitioner was commonplace in the hospital picture, but with the growth of specialization in the 1940s his numbers began to dwindle. At the same time in England, a similar decline occurred. There, prior to the inception of the National Health Service in 1948, most hospitals were staffed by general practitioners (1).
KeywordsFamily Physician Residency Training Health Care Delivery Family Practice Joint Commission
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