Media type: E-Article Title: Shifting or expanding medical paradigm? Contributor: Fletcher, Robert H.; Fletcher, Suzanne W. imprint: Springer Science and Business Media LLC, 1989 Published in: Journal of General Internal Medicine Language: English DOI: 10.1007/bf02597412 ISSN: 0884-8734; 1525-1497 Keywords: Internal Medicine Origination: Footnote: