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July 14, 1975

Peer Review

Author Affiliations

New Hampshire Foundation for Medical Care

JAMA. 1975;233(2):136-137. doi:10.1001/jama.1975.03260020022007

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To the Editor.—  In an article concerning peer review (230:1161, 1974), it is difficult to understand whether or not the writer, Dr. Coulter, is angry with the American Psychiatric Association (APA) or with the legislation as it appears in PL 92-603. Dr. Coulter does not explain why there is an "impossibility of coexistence... between effective techniques of authoritative control and... education."It is clear that Dr. Coulter does have a very comprehensive knowledge of the positions of all the organizations that are affected by the present brouhaha about peer review. His references attest to this fact. Certainly, from the quotes that Dr. Coulter himself has given, it is not understanding of the Department of Health, Education, and Welfare of PL 92-603 (viz, the quote from Senator Bennett, "educational process resulting from the broadest possible participation") that lends itself to elitism but, rather, statements by the APA.What I really wanted