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RELATIONSHIP OF THE ANESTHESIOLOGIST TO THE HOSPITAL

JAMES RAGLAN MILLER, M.D.
JAMA. 1949;139(1):9. doi:10.1001/jama.1949.02900180011003.
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In opera it is customary for the composer to begin with an overture. Though it appears first, this overture is written last, for it serves not only to allow the audience to get comfortably seated, but it gives a preview of what is to come and an acquaintance with leitmotifs which thereafter can be heard with critical appraisal. I am going to imitate this method and tell immediately what is on my mind.

  1. The anesthesiologist should be a member of the professional staff, and his relations to the hospital ideally should be on the same footing as other members of the staff.

  2. If his income is in any way regulated by the hospital management, it should be with the advice and consent of a staff committee of senior physicians for which I suggest the name "prudential committee."

I hold that such a prudential committee should pass on all

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