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In the era of proliferating sub specialities and super specialities, generalist might sound like a lesser or diluted version in the hierarchical ladder of 'advanced ' specialisations. In reality the sound generalist can filter off many references that may turn unnecessary and additionally expensive. Furthermore, the super specialist may perforce be expected to carry out investigations to 'rule out ' rare conditions, most often with limited yield. Patients too might reach the super specialist out of their 'choice ', where a proper referral system is non functioning or non existent. In short, systematic and monitored training of generalists is not only necessary but vital for effective delivery of the health service.
Dr Murar E Yeolekar, Mumbai
No competing interests
10 August 2019
Murar E Yeolekar
Professor &Head , Dept of Internal Medicine
K J Somaiya Medical College and Hospital, Sion Mumbai