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April 12, 1947


JAMA. 1947;133(15):1169. doi:10.1001/jama.1947.02880150125020

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To the Editor:—  You are doubtless aware of the spread of medical and surgical specialization throughout the United States. There is a saying that extremes are always wrong, that the ideal position is the happy medium. I feel that in the matter of medical specialists we are swinging to an extreme in that we have arrived at a position in medical history in which the profession is top heavy—too many specialists and not enough physicians doing general practice.A person calls a doctor only to be confronted with the reply that he is not engaged in general practice but is following a certain specialty. The patient, or those immediately interested in him, go down the list to find that the great majority are specialists; then he finally hits on an osteopath. The latter usually has his name followed by osteopathic physician and surgeon, but the "osteopath" is usually printed in

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