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December 1989

Toward Interspecialty Cooperation: Part 2

Arch Otolaryngol Head Neck Surg. 1989;115(12):1421-1422. doi:10.1001/archotol.1989.01860360023009

A Commentary entitled "Fragmentation in General Surgery," written by Paul Friedmann, MD, was published in the September 1989 issue of the Archives of Surgery.1 The article contains what appear to be derogatory statements with regard to otolaryngology-head and neck surgery along with a number of inaccurate and misleading observations. The strong wording combined with the publication in such a prominent location will obviously engender a number of replies, to which I would like to add this plea for interspecialty cooperation, rather than interspecialty conflict.

The personal sentiments expressed by Friedmann seem to have their origin in his discomfort with the phenomenon of change in terms of traditional relationships among surgeons. We have all become acutely aware that organized medicine and surgery are experiencing an unprecedented rate of change at every level, including fundamental changes in the way that various disciplines interact with each other. Obviously these shifts create tension

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