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Previous Volume 350:1357-1359 March 25, 2004 Number 13 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: Zuger's article (Jan. 1 issue)¹ about physicians' dissatisfaction is fascinating but does not mention that health care is increasingly dominated by large organizations whose leaders may sometimes be incompetent, self-interested, and even corrupt. As power is concentrated in larger organizations, the ability of their leaders to do good or ill also increases.² Zuger quotes Ludmerer, but not his concern about "medical school and hospital officials [who] approached academic medical centers much as if those institutions were making cars or breakfast cereals."³

Multiple anecdotes about bad leadership have appeared in the local news media but are rarely mentioned . . . [Full Text of this Article]

This article has been cited by other articles:

• Gibson, D. D., Borges, N. J. (2009). Aligning Career Expectations With the Practice of Medicine: Physician Satisfaction. Journal of Career Development 35: 331-351 [Abstract]  
• Duffy, R. D., Borges, N. J., Hartung, P. J. (2009). Personality, Vocational Interests, and Work Values of Medical Students. Journal of Career Assessment 17: 189-200 [Abstract]