We're unable to sign you in at this time. Please try again in a few minutes.
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......

Training in a Small Town for Rural Practice

George T. Harrell, MD
JAMA. 1973;225(9):1103-1105. doi:10.1001/jama.1973.03220370041010.
Text Size: A A A
Published online


The delivery of health care in small towns and rural areas is a major unsolved problem. The building of small hospitals has proved economically and professionally unsound. The construction of two-man office-clinics has not uniformly recruited nor retained physicians. Experience at Hershey suggests a minimum critical mass of four family physicians when the clinic is hospital based. There is a need for ambulatory health care in communities without a hospital. A model demonstration facility is being built for four physicians with allied healthpersonnel support to give ambulatory and emergency care and health education to a town 35 miles from the medical center. A full-time faculty member will be in residence. Medical, nursing, medex students, and house officers will be housed and trained. Laboratory, roentgenographic, dental, and pharmaceutical services are included. Patients requiring hospitalization are referred.


Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?




Also Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
Please click the checkbox indicating that you have read the full article in order to submit your answers.
Your answers have been saved for later.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.


Some tools below are only available to our subscribers or users with an online account.

0 Citations

Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?

Related Content

Customize your page view by dragging & repositioning the boxes below.