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On Being a Doctor |15 June 1995

Reimbursement over the Atlantic

A. Andrew Casano, MD

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Copyright ©2004 by the American College of Physicians
2004
  • Albany Medical Center, Albany, NY 12208 Requests for Reprints: A. Andrew Casano, MD, Albany Medical Center (A.38), 47 New Scotland Avenue, Albany, NY 12208.
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Two unrelated issues came to mind as I reflected on a recent harrowing experience. One was the heated debate over the imbalance in financial reward between medical-surgical procedures and so-called cognitive activity or (forgive me) non-procedures. The second was the solid foundation of traditional Western medical education on which I was fortunate enough to capitalize.
It seems that in medicine we have developed a curriculum that is effective, even for those of us who only practice part-time and cannot be on the cutting edge of technology with its latest generation of cephalosporins. It is a credit to traditional medical education that when occasionally challenged by friends, family, and the few patients for whom I take responsibility, I can draw on the strong foundation of fundamentals available in every U.S. medical school. This method does not require enormous amounts of detail close at hand, but simply a logical sequence of steps to organize symptoms and signs, focus on a few potential organ systems, and then make a diagnosis. This leaves the obscure and the incurable for textbooks and keener minds.
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Casano AA. Reimbursement over the Atlantic. Ann Intern Med. ;122:957–958. doi: 10.7326/0003-4819-122-12-199506150-00012

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Published: Ann Intern Med. 1995;122(12):957-958.

DOI: 10.7326/0003-4819-122-12-199506150-00012

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Print ISSN: 0003-4819 | Online ISSN: 1539-3704

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