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April 21, 1923


JAMA. 1923;80(16):1165-1166. doi:10.1001/jama.1923.02640430053031

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To the Editor:  —Recent comment on the relation of the hospital to the physician has interested me as a student of clinical administration, and I wonder whether a further excursion into the realm of medical idealism is not warranted by modern hospital practice. The growth of the "closed" general hospital has brought a regrettable estrangement between the private practitioner and the hospital. The reason is not far to seek. Opportunities for the stimulation of the scientific spirit are more numerous in hospital than in private practice. Cases in logical series are more readily observed and studied in the hospital. Necessary bedside visits have no financial aspect, and are continuous. The patient is removed from the diverting influences of friends and relatives, whose changeable tactics are the bane of the practitioner. The hospital has a better organization for study, with diagnostic, therapeutic, nursing and technical facilities close at hand. Perhaps this

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