1921
Volume 6, Issue 4
  • ISSN: 0002-9637
  • E-ISSN: 1476-1645
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Abstract

If there is a Boston attitude toward medicine which distinguishes it from that of New York or Baltimore, Dr. Lee is an excellent representative of its three reputed characteristics—individualism, iconoclasm and idealism. As an idealistic and somewhat heretical individualist, he laments the necessity for so much organization in the profession; for group practice by associated yet isolated specialists, with their collective results; and for the mechanization of diagnosis to the point of despotic control by the laboratory. Still, he realizes that the day of the “great clinician” is over; no one now attempts to cover the whole field of internal medicine. He is not very clear how he would reconcile these incompatibles, but he suggests the cult of the “specialism of competence.”

He hates war and did not like the army medicine of which he had a good dose, since it was predominantly administrative, provided too little opportunity for research, and worst of all, its fixed salaries and hierarchies tended to deprive doctors of an essential stimulus to perfection.

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