This issue of the Archives contains an article by Perlman and his associates of the Medical College of Wisconsin in Milwaukee. They describe the general medical clinic of a large city-county hospital attached to their medical school. They make the point most effectively that such a clinic, when properly organized and administered, can be a valuable asset in teaching the principles of primary care and ambulatory medicine to physicians who are in training to become specialists in internal medicine. If an article such as this one had appeared 30 years ago, one might have asked, "what's new?" Now, there is something "new" in this approach in the sense that teaching ambulatory medicine in a city-county hospital runs counter to prevailing trends. Hence, this work commands respect and interest in a journal devoted to updating and informing the internist.
The current vogue in the teaching of outpatient medicine is to remove