Advanced-care centers better at treating premature neonates.

I wonder why we keep re-inventing the wheel. Many studies over the last 20 years have shown that specialised procedures should be performed in higih volume centers where the problems occur with enough frequency to keep specialty skills sharp. This issue raises itself again today with the headlines about care for premature neonates, from Stanford University. Part of the problem comes from failure of the AAMC and its component schools to perform epidemiologic analyses of their products ( physicians), graduating too many with special skills uneeded by the public. The basics of medical care is primary care, but we keep producing specialists in excess of need, then use the demand for primary care as an excuse to train more specialists..