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August 1986

Division of Physician Time

Arch Intern Med. 1986;146(8):1643. doi:10.1001/archinte.1986.00360200223054

To the Editor.  —I noted with interest the graph submitted by Sidney Leibowitz, MD, in the March 1986 issue of the Archives,1 concerning division of physician time between inpatients and outpatients. One notable specialist area neglected was family medicine. A study was conducted based on national data sets surveying 1088 general and family physicians in 1977.2 In this study, it was found that the physicians involved spent an average of 26.1% of their time in a workday seeing hospitalized patients and 73.9% with non-hospitalized patients.To those not familiar with family practice, it may come as a slight surprise that approximately one fourth of the workday is spent on inpatients. This figure closely matches Dr Leibowitz's estimate of the division of time in the voluntary medical attending staff category. This is not meant to detract from those who are advocating greater outpatient experiences in medical education. The bulk

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