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Thomas F. Hornbein, MD

JAMA. 1986;256(8):1040-1041.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

The opportunity for self-determination, for being one's own boss, has been for many of us one of the pluses of being a physician. With surprising and somewhat painful alacrity, elements of this independence are being constrained as external societal forces try to control costs and guarantee the outcome of care. The article that appears in this issue by Eichhorn et al entitled "Standards for Patient Monitoring During Anesthesia at Harvard Medical School" exemplifies an interesting, creative response to these forces. As such, it is presented not so much to enlighten JAMA's readership concerning monitoring as one aspect of anesthetic care, but as an example of a process for extracting a collective minimum standard from individuals long accustomed to defining their own destiny and unaccustomed to others telling them what they should do. The essence of our role as problem-solving givers of care is independent thought and action. Anything that . . . [Full Text PDF of this Article]

Author Affiliations
University of Washington Seattle

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