Abstract

MEDICINE has come to another philosophic and economic crossroads as the profession tries to come to terms with its technology, by which I mean machines, devices, gadgets, and other ways of carrying on our daily business. On the one hand, the early success of physician's assistants and nurse practitioners begins to suggest questions about how much theoretical training is necessary for medical practice, and casts the intellectual content of medical-school curricula in as much of a luxurious mold as Corinthian columns and Doric patios. On the other hand, technology has brought advances to diagnosis and therapy that parallel the walk . . .

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