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Stephen Dell, MD
Epsom, NH

JAMA. 1992;268(24):3431.

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

To the Editor.

—In a recent issue of JAMA there is a letter commenting on your recent review of the Washington University School of Medicine.¹ The letter's author, Paul M. Fischer, MD, takes the school's dean (William A. Peck, MD) to task about Washington University's lack of a family practice program.² I do not wish to comment on the obvious merits of Fischer's letter. Instead, I was struck by the notice in minuscule print at the close of his letter: "This letter was shown to Dr Peck, who declined to reply.—ED."

It would appear that one of the responsibilities of publication in a journal as prestigious as JAMA is that of replying to reasonable, thoughtful, bona fide letters. I can't believe an author can reasonably be excused from that responsibility, any more than a speaker declines to answer an appropriate question during a question-and-answer session.

Your Instructions . . . [Full Text PDF of this Article]

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