Abstract
The selection of careers from among available specialties partly depends on an assessment of trends in medicine. More obviously than other specialties those providing primary care (e.g., family practice) are "system-defined" — i.e., they are shaped and made real by the needs of the present system of care. Students now selecting careers in family medicine are acting on current assumptions about the medical-care system of the future, although opinion in academic medicine and among medical practitioners remains divided about these issues.

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