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Allocation of Professional Practice Time

Carl Salzman, MD
Arch Gen Psychiatry. 1982;39(4):489-490. doi:10.1001/archpsyc.1982.04290040083017.
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To the Editor.  —Questions have been raised regarding the professional fate of psychiatrists who are trained at public expense in public institutions. Are these psychiatrists now primarily in private practice?1,2 If psychiatrists are working in the public sector do they do so as an interim job while establishing a private practice, after which they leave public psychiatry? If this is so, patients in the public sector will not be treated by these psychiatrists who were trained for this purpose, and public funds will have been used to support private practice.A previous survey,3 however, found that more than 80% of the Massachusetts Mental Health Center (MMHC) alumni who responded devoted half or more time to nonprivate practice psychiatry (public sector or private nonprofit). This present survey attempts an update and also extends the original report by examining patterns of professional practice five to ten years after completion of


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