Information about the consultative practice of nephrology in a community environment was gathered and used to speculate about improvements that could be made in the training of nephrologists in academic medical centers, based on their knowledge of such training. (Author/MLW)

Four professional participants in a well-developed community-based medical education system examine the implications of current change for their various roles, managing a community hospital, directing a local area health education center, teaching family medicine, and as a community preceptor. Some common themes concerning community-based medical…