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Subspecialization
Jeffrey S. Epstein, MD
Oakland, Calif
Arch Otolaryngol Head Neck Surg. 1994;120(8):886-887.
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| Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings. |
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In recent months I have been following closely the debates over subspecialization in Otolaryngology–head and neck surgery, so it was with great interest that I read Katz's1 Commentary in the ARCHIVES. While Katz does mention some important points regarding the development of otolaryngology as a quality specialty, I believe that some of his arguments regarding subspecialization are antiquated.
By his referral to the reputation of otolaryngology, at the time of choosing a residency, as a second-rate specialty, I imagine that this decision was made at least 10 years ago. More recently, graduating medical students choose otolaryngology as a subspecialty for, among other reasons, its prestigious reputation and the quality of care that the specialty expects. This quest for excellence is, in fact, one of the explanations for the growth in fellowship training on the completion of residency.
A brief survey of the articles in the same issue in
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