SPECIAL ARTICLE Curriculum Changes: Pass or Fail for Town and Gown

medical services is being advocated, both for the purpose of better distribution of expert medical care and for more balanced medical education. Such a trend could either intensify or ameliorate existing differences between academic and non-academic physicians. Characteristics of the educa-tional setting that may complicate medical care in-clude the varied levels of personnel involved, an emphasis on general scientific insights as well as providing of individual patient care, and often relatively aggressive diagnostic and therapeutic at-titudes. Characteristics of practicing physicians in-clude a relative emphasis on the emotional and material satisfactions of medical practice, some-times at the expense of scientific competence an