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During the past 35 years, the roles for nurse practitioners (NPs) and physician assistants (PAs) have evolved in parallel with the roles that physicians have come to play. Shifting needs in primary care and expanding opportunities in specialty medicine have been the dominant trends. Future directions will be influenced additionally by the deepening physician shortage. NPs are preparing for this...

OBJECTIVE To determine whether the original continuity of care framework is still applicable to family medicine today. DESIGN Qualitative descriptive study. SETTING Kingston, Ont. PARTICIPANTS Three groups of first-year family medicine residents (18 in total), 2 groups of family physicians in established comprehensive practices (9 in total), and 2 groups of family physicians working in ep...

Since 1986 a number of federal agencies have initiated large-scale demonstration programs designed to relieve the deprivation of parents and children in impoverished families. The evaluation of such programs formed the subject of a conference held in Washington on November 14-15, 199 1. The conference was one of a series jointly sponsored by the Institute and the Office of the Assistant Secreta...