There is an air of excitement and confidence about this meeting that I think is entirely justified. But lest it spill over into premature certainty about some of the things we have discussed, I think I should start by entering some disclaimers.
First, I do not think any of us can pretend to know the truth in this area. It is a difficult, elusive problem. Second, I do not think any one solution will be applicable at all schools: they are much too diverse; their goals and functions, backgrounds, and present faculty, are all too different. Third, I hold no brief for the view that subspecialists cannot be good general internists; as they used to say, some of my best friends are subspecialists. Fourth, I have no desire to destroy or to supplant what is excellent in current departments of medicine; I want only to try to complement it, to