Knowing what you don't know is as important as knowing what you do, according to a recent article in the South African Medical Journal (1997;87:980-1), which discusses training and career paths for doctors who want to remain general physicians, rather than follow a particular subspecialty. Besides self-knowledge, the generalist must be a virtuoso at history taking and examination, a guide and advocate for the individual patient, have full knowledge of the capabilities of the subspecialties, and be able to assess the effectiveness of care they provide.
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