Word: doctorate
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Dates: during 1950-1959
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...general practice. Of some 20,000 hospital-training residencies for young M.D.s, only 500 are for generalists; 198 of these are going begging. Last year only 35% of the nation's M.D.s were in general practice, v. 40% in 1940. Some 30 million Americans have no regular family doctor, although the overall U.S. doctor-patient ratio (one to 760) has changed little in the last 50 years...
John DeTar's two-fisted approach has helped make him the family doctor's leading booster and a national figure in U.S. medicine. When he arrived in Milan (pop. 3,900) just out of internship at Detroit's Henry Ford Hospital, he planned to return soon to the city and specialize in the growing field of pediatrics. But DeTar and his family (two sons, two daughters) found Milan pleasant and friendly, decided to stay...
Homework Upstairs. Today, after 25 years in Milan, Family Doctor DeTar runs a one-man show at a pace that would weaken many a younger physician. After wolfing his breakfast, he slips by nine into his elaborate ground-floor office (laboratory, three examination rooms, four secretaries) to welcome the first of the day's 35-odd office patients. After four or five house calls in his 1950 Oldsmobile sedan, DeTar often skips lunch (to his wife's despair), sees more office callers until 7:30. After a quiet, 45-minute dinner with his wife, he climbs the stairs...
...share of emergency calls. But night calls have dropped off ever since he was felled by virus pneumonia ten years ago. Although he performs minor surgery, e.g., cyst removals, suturing cuts, in his office and performs tonsilectomies in a nearby hospital, he refuses to perform bigger operations. "A doctor should not do major surgery if he's not trained in it. I'm not," he explains. After home-delivering some 300 babies, DeTar gave up obstetrics in 1952 to devote more time to A.A.G.P. duties, but he still handles pre-and postdelivery care for 100 babies a year...
...relies most of all on the G.P.'s traditional helper, a detailed medical history of each patient. Says he: "I know if the person ever had a reaction to penicillin. I know when John Jones had a kidney stone. It's a tremendous advantage over the doctor who sees his patient for the first time in a hospital...