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(Continued from p 3) sions of general surgery. It is highly significant that 87% of the first-rate group A departments enjoy autonomy, 55% of the group B departments are autonomous, while none of group C and D are autonomous. This clearly demonstrates that when otolaryngology is under general surgery the quality of scientific work and training is likely to be inferior.
The medieval prejudice of some general surgeons against otolaryngologists reminds one of the prejudice some have against their in-laws. Two cannibals were dining on the beach of an island in the South Seas. One said to the other, "I don't like your brother-in-law." The other replied, "Never mind, just eat the noodles." Unfortunately, eating the otolaryngologist will not solve the problem, for specialization in medical practice is inevitable and here to stay.
In the United States the chiefs of surgery in some universities outwardly express their prejudice against specialization
SHAMBAUGH G. The Year of the Big Look. Arch Otolaryngol. 1967;85(1):118. doi:10.1001/archotol.1967.00760040120028