To the Editor.—In response to your February Archives editorial,1I would comment that although there are many merits of fellowship training for those who receive it, there is one problem that seems likely to develop should too many recently trained otolaryngologists opt for it. The problem is that the overall amount of highly specialized work needing to be done may not require such extensive training in so many. If that comes about, it seems to me that the character of work being done by practicing otolaryngologists may be pushed downward to a level below their actual capacities, subspecialized or not. That could push the general otolaryngologist into the realm of primary care and create more conflict and controversy with general physicians about who is to be treating the most common of ear, nose, and throad diseases. With the burgeoning number of physicians specialized and unspecialized in all areas
WHITESELL GJ. Fellowship Training. Arch Otolaryngol. 1984;110(6):415. doi:10.1001/archotol.1984.00800320069016
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