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A generation ago, such a book as this would have been not only a rarity but a treasure. We starry-eyed graduates thought of medicine as a calling to serve man, not Mammon. We had no courses in medical economics, no free magazines telling us that we ought to buy more equipment to handle more customers and to hire more aides to increase our income; no time was spent on figuring out what it cost to see the average patient (all expenses divided by the number of patients seen on an average day with a load factor tossed in and "x" equalling the magic figure that we must attain, or fail as medical businessmen); we did not use charge slips to be sure to itemize every fee for each little service—and look like department store sales clerks while doing so; we did not interpose office girls between all contacts with patients
Gorrell R. Business Management of a Medical Practice. Arch Intern Med. 1965;115(1):118. doi:10.1001/archinte.1965.03860130120043
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