J. MICHAEL MCMILLIN, M.D.
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To the editor: I found Dr. Petersdorf's article (Ann Intern Med 82:694-701, 1975) to be a challenging and candid evaluation of the physician maldistribution problem. However, I feel he neglected several important factors, which led him to make erroneous and potentially dangerous recommendations.
The internist, whether he is a subspecialist or not, spends the majority of his time delivering primary care. Thus, unlike the surgeon, in a competitive economic climate he has the option of increasing that portion of his time devoted to primary patient care to maintain his income. In addition, with the exception of procedures such as endoscopy
MCMILLIN JM. Health Manpower: Numbers, Distribution, Quality. Ann Intern Med. ;83:426. doi: 10.7326/0003-4819-83-3-426
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Published: Ann Intern Med. 1975;83(3):426.
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