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Previous Volume 330:503 February 17, 1994 Number 7 Next

	Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

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To the Editor: Despite the best of intentions, seemingly impartial members of an academic medical section frequently have a vested interest in the ongoing use and widespread medical acceptance of technical procedures and intellectual paradigms emanating from that department. The use of such procedures and the acceptance of such paradigms may bring not only financial remuneration to the individual members and the department but also academic prestige and advancement; more space, technical personnel, and trainees; increased grant support; and overall departmental growth. Conformity to departmental paradigms and reliance on departmental technical procedures are further enhanced by both the collegial nature . . . [Full Text of this Article]

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