The Deprofessionalization of Medicine

Mark E. Reinecke, MD
JAMA. 1988;259(15):2239. doi:10.1001/jama.1988.03720150020021.
Text Size: A A A
Published online

To the Editor.  —The article by Drs Reed and Evans1 in the Dec 11, 1987, issue of JAMA accurately portrays the condition that the profession finds itself in, that is, a state of progressive loss of professional autonomy. The authors propose the development of physiciandriven organizations, primarily in the form of group practices, as a partial or temporary solution to deprofessionalization. Having spent a number of years in group practice as well as health maintenance organization management, I could not agree more. A number of barriers lie in the way, but they are the sort of problems that can be overcome.Capital formation is no problem for the medical profession due to its earning power. The problem is that in private practice the revenues above office expenses are typically retained as income. In industry it is not unusual for 10% to 15% of revenues to go to research, development,


Sign In to Access Full Content

Don't have Access?

Register and get free email Table of Contents alerts, saved searches, PowerPoint downloads, CME quizzes, and more

Subscribe for full-text access to content from 1998 forward and a host of useful features

Activate your current subscription (AMA members and current subscribers)

Purchase Online Access to this article for 24 hours




Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.
Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s "Cited By" API will populate this tab (http://www.crossref.org/citedby.html).


Some tools below are only available to our subscribers or users with an online account.

Sign In to Access Full Content

Related Content

Customize your page view by dragging & repositioning the boxes below.