Morris raises an extremely valid issue in his letter analyzing my comments regarding the guidelines for the treatment of otitis media published by the Agency for Health Care Policy.1 There is no question that otolaryngologists find themselves in a dilemma under the new schemes of health care delivery being devised across the United States. For more than three decades, our specialty has attempted to convince the public, as well as our colleagues in medicine that, in fact, we are highly trained specialists dealing with a multiplicity of disorders of the head and neck. Now we find ourselves trying to convince the public that we are, in fact, primary care physicians. This certainly has the potential of depicting otolaryngologists as somewhat schizophrenic.
There is no question that many otolaryngologists throughout the United States spend a significant portion of their practice day treating primary care problems of the head and neck.
Healy GB. Otitis Media-Reply. Arch Otolaryngol Head Neck Surg. 1995;121(12):1434. doi:10.1001/archotol.1995.01890120090020