RT Journal
A1 Plochg T, Klazinga NS
T1 SPecialization in health care
JF JAMA
JO JAMA
YR 2012
FD May 16
VO 307
IS 19
SP 2025
OP 2025
DO 10.1001/jama.2012.3582
UL http://dx.doi.org/10.1001/jama.2012.3582
AB 
To the Editor: Dr Detsky and colleagues1 suggested that medical specialization may have gone too far because it leads toward escalating costs without clear benefits. However, we believe the authors could have been more firm and provocative in their conclusions. A population-based approach toward assessing the appropriateness of specialization also needs to assess the responsiveness and flexibility of the existing licensing and certification mechanisms and consider the whole health care workforce instead of just the medical profession.