In the world of physicians, there are hundreds of specialties—neurologists, orthopedic surgeons, dermatologists, radiologists, anesthesiologists...all the different "ologists." But doctors generally fall into two camps: the specialists and the generalists, like, for example, your family doctor. As it turns out, there's a longstanding struggle between these two camps, and a lot of people would say primary care is losing. As a first-year resident, I found myself wanting to understand why.