Abstract
From the tone of Dr Wishart's letter, he is concerned about two things: the accuracy of our report and the differences in the large and small First, I would like to point out that the title of my letter has a question mark. I was asking a question and not making a statement. The survey that was prompted by our tumor board's experience was sent to people we did not know and addressed to the chairman of the tumor board at x, y , or z hospital. The questionnaire had a number of specific questions (the results being recorded in my letter) and a place for these chairmen to record their evaluations of the board. Hence, subjectivity was cut to a minimum, but it must be remembered that this is only an analysis of hospitals in the VA system. Because the editor insisted that the length of the
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