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December 10, 1982

Solo Practice-Reply

Author Affiliations

Northwestern University Chicago

JAMA. 1982;248(22):2970. doi:10.1001/jama.1982.03330220015011

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In Reply.—  I am grateful to Dr MacNeal for pointing to a paragraph in my commentary that obviously lent itself to misinterpretation. I should have enlarged on my qualifying phrase "as it was a generation ago." In a professional career that encompassed 57 years, I never was a paid faculty member and always made house calls, although I devoted approximately half of my time to teaching and research in a medical school. I long for a time when the pendulum may swing back to more emphasis on the ideal relationship between patient and physician that Dr MacNeal outlines so eloquently and knows from experience.The point I was trying to make is that modern medicine has become so complicated and a physician's time so filled with new services that he must either supply himself or delegate his duties—that working solo in the old sense is hardly possible. The "group" I