Progressive developments in the methodology of evaluating the quality of medical care are needed. Most of the activities in this field have been directed at the care given in hospitals or clinics, and much progress has been made in this area. However, detailed and objective studies of the professional activities of physicians in private practice are rare and heretofore have been limited mostly to physicians in general practice in this country and in Canada.1,2 The methodology used has usually involved time-consuming and very costly personal observations made directly by physicians.
It is refreshing, therefore, to see a careful study, made at the invitation of the New York State Society of Internal Medicine, of the office practice and related professional activities of its members. This study was done by a research group at the Graduate School of Public Health of the University of Pittsburgh. Data were collected mainly by questionnaire