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June 24, 1961

VI. One Hospital's Analysis of Dollar Expenditure for House Officer Training

Author Affiliations

Providence, R.I.

Executive Director, Rhode Island Hospital.

JAMA. 1961;176(12):988-992. doi:10.1001/jama.1961.03040250014006

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I AM pleased that the program uses the words, "One Hospital's Analysis," in dealing with my presentation in this important 57th Annual Congress on Medical Education and Licensure. I am pleased because we have some very definite and specific points of view. I was interested in an editorial relative to hospital costs and related teaching in the December, 1960, Journal of Medical Education. In speaking of hospital costs, the following sentence was in italics: "These training costs should not be included in the bed-day cost." I disagree with this statement, at least within the present framework of our particular hospital. The costs as applied to the individual patient are minor in nature and certainly do not reflect the values that accrue to the individual patient who is hospitalized or to our total population that will be in need of medical care or hospitalization or both.

The costs of medical education

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