The Hospital Staff, Community Medicine, and Continuing Education

Ward Darley, MD
JAMA. 1968;204(7):590-594. doi:10.1001/jama.1968.03140200030008.
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The April 18, 1966, issue of The Journal contains a paper in which I proposed that we use increasing knowledge and specialism and increasing efficiency in data processing and communication to the end that we increase our capacity to cope with increasing demands and costs of medical care and with increasing shortages of medical personnel. In my brief discussion of the organization necessary to accomplish all of this, I suggested that the day would come when the satisfactions of the health and medical professional might come more from being one of a group or team than from being an entrepreneur, that the effective functioning of the group or team might call for new categories in the constellation of specialism, and that the eventual role of the community hospital might call for both the centralization and decentralization of many of its functions. I indicated that organization should provide the common ground


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