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Accountabilities and Possibilities

John La Puma, MD

Arch Intern Med. 1996;156(22):2529-2533.

Abstract
Current house physicians' practice, responsibilities, and earnings are reviewed. House physicians are licensed, ordinarily institutionally based, typically salaried physician employees of 1 or more hospitals or systems. Many are hourly workers, often foreign medical graduates or physicians in training, with little professional status and less visibility. Yet managed care sees a new, creative role for house physicians that makes them masters of quality and models of service. No longer dependent beings shielded by an institution's coverage, house physicians can emerge as efficient, educated champions of inpatient medicine. To produce hospital generalist physicians for the patient's good, physician availability, institutional financial incentives, and patient values must align.

Arch Intern Med. 1996;156:2529-2533

Author Affiliations
From the North Suburban Clinic and Alexian Brothers Medical Center, Elk Grove Village, Ill, and the MacLean Center for Clinical Medical Ethics, Department of Medicine, University of Chicago, Chicago, Ill.

Footnotes
The opinions expressed are solely those of the author.

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