Outpatient primary care medicine is frequently regarded with disdain by traditional academic physicians. A problem in keeping primary care attractive as a career is that academic leaders frequently underestimate the scope and complexity of the care that primary care physicians can provide. This undervaluation then translates into reduced curricular goals and limitations of privileges that further undermine the attractiveness of primary care.
Reilly's second edition of Practical Strategies in Outpatient Medicine is a useful text in trying to reverse this trend. He again focuses on symptom complexes rather than disease disorders to provide readers with a basis for sophisticated workups and differential diagnoses in common outpatient complaints. With this new edition Reilly has taken on a greater agenda and broken ambitious new ground. Unfortunately, his idiosyncratic approach to his topic, while requiring some acclimation in the first edition, requires an even greater commitment by the reader in the current edition.