[The difficult exercise of medicine in primary level healthcare units].

The positive response from the general physician to the continuing medical education promoted by the National Academy of Medicine of Mexico, the Mexican Academy of Surgery, 32 Medical Schools, and different medical societies will be a real contribution to improving primary healthcare. At present, an additional effort is necessary from primary healthcare providers to lengthen time for patient care with the general physician and to improve facilities for the general physician for his/her continuing medical education.