1977 seems like a lifetime ago, and as I attended my 45th University of Alberta medical class reunion I was struck by the profound changes in medicine my classmates and I had witnessed over the decades. Many chose to pursue specialties, but a substantial number of us decided that a family practice residency was the way to go. For us at that time, a full-service cradle-to-grave family doctor was the norm, encompassing community care via an office, obstetrics, emergency department shifts, in-hospital care, and nursing home visits. Both solo and group practices of varying sizes were common.
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