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April 1990

Fretting Over Fragmentation: The Debate Continues

Author Affiliations

Springfield, Mass

Arch Otolaryngol Head Neck Surg. 1990;116(4):403-404. doi:10.1001/archotol.1990.01870040025006

My commentary entitled "Fragmentation in General Surgery: the Case of Head and Neck Surgery,"1 which appeared in the September 1989 issue of the Archives of Surgery, has engendered a vigorous response, both in this country and abroad. Much of the response has come from otolaryngologists who have interpreted my commentary as an attack on the specialty of otolaryngology. The commentaries by Drs Byron J. Bailey2 and David Schuller3 published in the December 1989 issue of the Archives of Otolaryngology-Head and Neck Surgery articulate their strong views in support of their specialty. It is certainly their right to use the pages of a respected and widely read journal to state their opinions. However, both Dr Bailey and Dr Schuller have taken some of my comments out of context. Dr Bailey, in particular, feels that I have exhibited unprofessional and reprehensible conduct for having the temerity to disagree with