April 28, 1906


JAMA. 1906;XLVI(17):1290-1291. doi:10.1001/jama.1906.02510440044008

The specialization of modern medicine, while of inestimable value both to the patient and to scientific medicine, has its drawbacks. The most important of these, and one which has been recognized since specialties existed, is the danger that after a time the specialist grows narrow, is always on the lookout for diseases which come within his specialty, and overlooks changes in other organs. That there is a reaction against these narrowing tendencies is shown by the tendency of modern surgeons to have their patients looked over by medical men, and vice versa, and by the appearance of journals dealing with the subjects on the borderline between medicine and surgery.

Among the conditions which are to be regarded as borderline conditions must be mentioned what Berry1 calls the "Flat-Foot Series." We heartily agree with this author that it is a mistake to label all these cases flat foot, for in

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