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March 12, 1921


JAMA. 1921;76(11):744. doi:10.1001/jama.1921.02630110052026

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To the Editor:  —The letter of Dr. F. S. Reilly (The Journal, February 26) with the above title deserves comment because it emphasizes an important objection to group medicine—namely, the danger of cliquism. As Barker has said: "There is nothing, perhaps, more conducive to bad feeling in the profession than the belief that coteries of physicians have set themselves up as superior and exclusive associations that try to monopolize practice. Even when groups are composed of competent, sincere, well bred and fair dealing members, they may excite the envy or the resentment of other groups or of individual practitioners."Dr. Reilly evidently believes that any argument which presents the advantages of group practice is necessarily an attack on the general practitioner. Nothing could be farther from the truth. The opinion I expressed was that the specialist is quite as much in need of the cooperation offered by group methods as