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September 1974

Who Provides What Services to Children in Private Medical Practice?

Author Affiliations

Melnick-Berger Pediatric Group Parkview Hospital 1331 E Wyoming Ave Philadelphia, PA 19124

Am J Dis Child. 1974;128(3):422. doi:10.1001/archpedi.1974.02110280152024

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To the Editor.—I read with interest the article by Rosenbloom and Ongley in the March issue of the Journal (127:357, 1974).

While the intent of the article is highly commendable, the statistical evaluations completely break down because of a gross error in the authors' classifications. Because of the ignorance of or bias against osteopathic practice or both, the authors lump all DOs into the category of "osteopathy." In reality, osteopathic physicians' practice is exactly like that of MDs—general practice, specialty practice, or mixed—and they can be divided into the same categories listed in the authors' breakdown. Approximately 40% of osteopathic physicians are specialists and their specialty fields include surgery, internal medicine, obstetrics/gynecology, pediatrics, psychiatry, ophthalmology, otorhinolaryngology, urology, and dermatology (the classifications used by the authors), as well as all other specialties. About 60% of DOs are in general practice.

Because of this classification error and because the osteopathic

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