To the editor: Active debate on the training of the internist is long overdue, has been increasingly prominent in the past few years, and will no doubt continue. One hopes the issues will be clarified as a result. I thank each of those who took the trouble to write (1) in response to my paper.
I point out that the paper did not suggest that ambulatory care, chronic care, geriatrics, common disorders, or efficient work practices are unimportant. I have no argument with those who emphasize that all of these things should be done well, compassionately, and with an ongoing