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June 16, 1969

Forty Years of Full-Time Medicine at University of ChicagoEvaluation and Affirmation

Author Affiliations

From the Scientific Publications Division, American Medical Association, Chicago. Dr. Ricketts is a professor emeritus, University of Chicago School of Medicine.

JAMA. 1969;208(11):2069-2073. doi:10.1001/jama.1969.03160110041010

It is common knowledge that for the past two decades or more there has been a steady increase in the number of full-time clinical positions in the medical schools and hospitals of this country. The conditions governing these positions, however, have varied widely. In most cases the schoolrelated hospital provides an office from which the physician emerges to perform his duties as clinical teacher, but in which, or in other quarters of the building, he is permitted to see private patients on a fee-for-service basis. In such cases, an accommodation is reached between the amount of his salary and the amount of his income derived from patients. There are various formulas, based on temporal or fiscal criteria or both, for limiting the activities in the private practice of medicine or surgery.

What has just been described is known as "geographic full time." It is distinguished from true full time, in