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From the tone of Dr Wishart's letter, he is concerned about two things: the accuracy of our report and the differences in the large and small hospital.
First, I would like to point out that the title of my letter has a question mark. I was asking a question and not making a statement.
The survey that was prompted by our tumor board's experience was sent to people we did not know and addressed to the "chairman of the tumor board at x, y, or z hospital." The questionnaire had a number of specific questions (the results being recorded in my letter) and a place for these chairmen to record their evaluations of the board. Hence, subjectivity was cut to a minimum, but it must be remembered that this is only an analysis of hospitals in the VA system.
Because the editor insisted that the length of the
Smith BH. Is the Tumor Board Doomed?-Reply. JAMA. 1976;236(11):1236. doi:10.1001/jama.1976.03270120013007