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Procedures in Family Medicine: Serving as Our Own Gatekeeper
Mark P. Knudson, MD
Bowman Gray School of Medicine Wake Forest University Winston-Salem, NC
Arch Fam Med. 1994;3(5):399.
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I want to write in support of the editorial by Dietrich and Kotrady.1 As the residency director at Bowman Gray School of Medicine, I, and others in my position, are constantly faced with trying to decide what procedures to select and how extensively to train our residents in the procedural aspects of family medicine. One of the principles that has slowed our pursuit of these procedural skills is the recognition that the primary care physician who chooses to perform procedures will often experience an increase in utilization of those procedures. It has been our suspicion that physicians who perform colposcopy, treadmill, and other procedures may, in fact, do those at a greater rate on their patients than if they
. . . [Full Text PDF of this Article]
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