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American Journal of Epidemiology Advance Access published online on May 11, 2007

American Journal of Epidemiology, doi:10.1093/aje/kwm160
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American Journal of Epidemiology Copyright © 2007 by the Johns Hopkins Bloomberg School of Public Health All rights reserved; printed in U.S.A.

The General Epidemiologist: Is There a Place in Today's Epidemiology?

David E. Lilienfeld

399 Port Royal Avenue, Foster City, CA 94404

Corrrespondence to Dr. David E. Lilienfeld, 399 Port Royal Avenue, Foster City, CA 94404 (e-mail: Lilienfeld{at}comcast.net).

Received for publication August 7, 2006. Accepted for publication April 25, 2007.

Epidemiology has changed remarkably during its growth in the past quarter century. One of those changes has been the ever-increasing specialization among its practitioners. In this commentary, the author explores the degree to which this phenomenon has shaped the field. A partial explanation for this trend is found in the decline in the availability of training funds not focused on specific disease areas. Although it appears likely that epidemiology can continue to flourish without general epidemiologists, the field will lose some of its ability to quickly respond to emerging public health challenges. The author considers steps necessary for the training and inclusion of general epidemiologists.

education; epidemiology; public health research

Abbreviations: CDC, Centers for Disease Control and Prevention; NIH, National Institutes of Health


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