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October 5, 1970

Employment Contracts Between House Officers and Hospitals

Author Affiliations

From the School of Medicine, University of California, San Francisco Medical Center, San Francisco.

JAMA. 1970;214(1):123-124. doi:10.1001/jama.1970.03180010065015

That there is a genuine, wide-spread and justifiable activity on the part of house staffs throughout the country for increased income and fringe benefits is well established. Administration is confronted with the problem of developing means of assessing these needs and meeting the agreed upon goals.

In the process of assessing and meeting the needs, communication between administration and house staff is vital to a sensible, defensible and practical solution. Productive communication is contingent upon house staff and administration designating people with the authority to speak for and who have the backing of the organization they represent. These people must be the sort of people who can communicate in times of stress and emotional provocatives on an objective and frank and direct basis. Memos and letters are necessary to affirm actions taken in conference but should not be the sole or primary means of communication. In the negotiations that we