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July 1988

Down With the Dabblers

Arch Otolaryngol Head Neck Surg. 1988;114(7):809. doi:10.1001/archotol.1988.01860190113039

To the Editor.—I am sure that the editorial in the November issue of the Archives by John Loré1 will have elicited a number of "hurt" replies. These will probably have come from otolaryngologists working outside the major centers, who interpret his comments as an attack on their competence to decide who and what they treat. "If we are not competent then our training was at fault, etc."

In the United Kingdom we face, to a lesser degree, a somewhat similar problem, yet few individuals have the courage, and few editors the good sense, to publicly speak of their concern for our patients. It is difficult enough to cure patients with head and neck cancer, and since technical ability is only a part of the therapeutic program, surely we should be asking ourselves whether doctors seeing less than, say, 100 new patients per year have the experience, rather than