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October 10, 1977

Diagnostic Index of Clinical Practice-Reply

JAMA. 1977;238(15):1631. doi:10.1001/jama.1977.03280160024014

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In Reply.—  Dr Jessee points out the unusually good opportunity for ongoing self-education as a personal benefit from maintaining an index of practice. In item 7 of the "Uses of the Index" in the article, I indicated how one can identify areas needing study, correction, or strengthening. Implicit in the entire article is the theme of continuing education by critical analysis of one's own clinical experience. However, I appreciate his emphasis on this important application of such an index.By knowing the kinds of patients seen and the skills needed, the physician can design a continuing medical education program for his particular needs. This might be served best by attendance at particular rounds or outpatient clinics. It might lead to a specific study program rather than attendance at desultory courses not pertinent to his needs.I have found the profile valuable enough to keep it current for the enormous sense