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The Article in Brief
Background .
What This Study Found This essay describes the relationship between family medicine�s struggle for identity and the dominant American culture within which that struggle occurs. The author argues that family medicine�s history may be best characterized by core conflicts rather than by core values. These include conflicts between the generalist nature of family medicine and the family physician�s identity as a specialist, and between the desire to be a part of mainstream American biomedical culture and a part of the medical counterculture. The author suggests that family medicine avoid new bandwagons and slogans that promise to solve its identity problems, and that clinicians adopt a reflective approach to their practice and to the future of the discipline.
Implications