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article “A New Path to Primary Care” brings to mind a three-year inten- sive curriculum Texas Tech University Health Sciences Center School of Medicine had back in the 1970s. As I see it, the current program will not succeed until the huge disparity in fam- ily physician income is addressed. It will be difficult for would-be physicians to choose a track that will limit their income when compared with other specialties. After the first year of
the programs, the num- ber of additional physi- cians produced remains the same. Incidentally, Texas Tech now has a traditional four-year program. To be honest, the only way to improve physician shortages is to increase the “diameter”
of the pipeline and not to decrease the “length” of the pipeline. In other words, increase the en- rollment numbers.
JOHN A.
MENCHACA, MD SAN ANTONIO
In the March 2016 issue of Texas Medicine, “A Needling Controversy” reviewed a lawsuit be- tween acupuncturists and chiropractors. The article details the legal issues, but nowhere does it mention acu- puncture is a placebo. Well-done studies with sham acupuncture or acupuncture done at the wrong points show equal effect to “real” acupuncture. Acupunc- ture is based on presci- entific ideas. The article states
that acupuncturists “ap- pear to affect chemical
neurotransmitters in the body.” Acupuncture is actually based on changing the flow of chi through meridians. Nei- ther chi nor meridians have ever been found to exist. Texas Medicine should report on reali- ty-based therapies, not pseudoscience.
TONY SHALLIN, MD GEORGETOWN
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To submit a letter, email it to Texas Medicine Editor Crystal Zuzek,
crystal.zuzek@texmed.org. Please limit letters to 250 words.
6 TEXAS MEDICINE May 2016
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