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The method of organization of the medical staffs of our hospitals is a matter of great importance. Naturally the same plan, even though quite ideal, is not applicable to all hospitals, because their scope and nature differ greatly. In the case of those of large or medium size, whether supported by some branch of the government or by endowment, the general conditions are usually quite similar, and it would seem natural that the medical staffs were appointed and organized according to some well-considered plan which had gradually met with more or less general approval. At present, this is far from being the case. In most of our city and country hospitals the positions on the medical staffs are prostituted in the interests of practical politics. There is no reasonable certainty in the tenure of office; there is no esprit de corps in the staffs so constituted, and no successful attempt
HOSPITAL ORGANIZATION.. JAMA. 1900;XXXV(14):884-885. doi:10.1001/jama.1900.02460400032003