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November 12, 1982

A Fable of the Clinic

JAMA. 1982;248(18):2321. doi:10.1001/jama.1982.03330180077045

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It came to pass that the residents groaned and complained. The Clinic was a disaster. There was no direction, no director, and no teaching. Lo, the patients complained that there was no continuity of care and no concern for people.

"We need a teacher, a clinician in the Clinic," demanded the chief of the residents as the chorus of house staff murmured agreement. The chairman pondered this recital of woes and granted the residents' petition. A young and enthusiastic teacher knowledgeable of diabetes and diarrhea as well as abetalipoproteinemia was found. In the days that followed, the Clinic flourished. The residents no longer groaned. Patients were pleased and brought in their friends and neighbors, and, lo, full-paying patients were once again seen.

It came to pass that the chairman departed to the East and there arose a new leader, born and bred in the laboratory, who knew not the Clinic.