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On Being a Doctor |

The Practice of Administrative Medicine

Gregory L. Eastwood, MD
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From State University of New York Upstate Medical University, Syracuse, NY 13210.

Requests for Single Reprints: Gregory L. Eastwood, MD, State University of New York Upstate Medical University, 618 Irving Avenue, Room 207, Syracuse, NY 13210; e-mail, eastwood@upstate.edu.

Ann Intern Med. 2011;154(10):703-704. doi:10.7326/0003-4819-154-10-201105170-00015
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When I became a medical school dean, some people thought I had crossed over to the dark side. But far from serving on the dark side, I quickly came to understand that such positions actually are another opportunity to express the values that drive us as physicians. I have chosen to call such endeavors the “practice of administrative medicine.” I'll tell you why.





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Administrative Medicine in developing world
Posted on May 24, 2011
Anip Joshi
Kanti Childrens' Hospital , Nepal
Conflict of Interest: None Declared

I have been involved in setting up a Paediatric Orthopaedics Unit in a state run children hospital in Nepal.The role was far different from what was taught in medical school and what I learnt as a clinician. It required administrative knowledge and skills from planning the space for the unit within the hospital to retention of skilled human resources. Furthermore, a daunting task of constant discussion, planning and decision making is expected for the healthy growth of the unit which is in its infancy.But an efficient tackling of situations of uncertainity that usually looms over a newly started unit has its own reward when a large number of poor and needy patients from rural areas of the country who are not able to afford private hospital orthopaedic services benefit from this state funded unit.I agree with G L Eastwood's (1) idea of "playing in a larger field" and " change the world" for better while practicing "administrative medicine". A good practice of "administrative medicine" is as rewarding as good clinical practice.


1. G L Eastwood. The Practice of Administrative Medicine. Ann Intern Med ;2011 , 154 : 703 - 709

Conflict of Interest:

None declared

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