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To the Editor
—Why should not the group-unit, which is so plainly the chief efficiency factor in industrial and commercial enterprises be the same in medical practice? Could not small groups of medical men, specializing or semispecializing, achieve far greater results, primarily for the patient and, secondarily, for themselves?The day of the patriarchal, almost parental, "all-round" family practitioner is passing, if it has not already passed.The evolution of civilized needs, the vast advances in every department of medical science, render it impossible for any one man to keep abreast of progress, even to form a symmetrical conception of present-day knowledge. These have produced new aspects of supply and demand. Giants of science who are familiar with essentials in certain departments and are capable of long perspective and deep penetration into mysteries rarely assume responsibilities of family practice; a few undertake consultations in limited clinical fields.Every graduate of
Taylor JM. Cooperation in Medical Practice. JAMA. 1913;60(23):1810–1811. doi:10.1001/jama.1913.04340230056030
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