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More than materialistic incentives will be necessary to attract or retain qualified academic surgeons to serve as directors of the Emergency Departments of teaching hospitals in the future. The necessary ingredients appear to include a more effective functional separation of ambulatory and emergency health care problems within the institution if not the community, an opportunity for academically rewarding professional experiences, sufficient at least to balance the administrative and service obligations of the job, and the administrative and faculty support, and the authority, to get the job done. Time is of the essence, for the rate of turnover of surgeon-E.D. directors in teaching hospitals is already high and for many academic surgeons their hospital's E.D. has already become a matter of “flight or fight.”
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Accepted: October 11, 1973
☆Presented in part as a Presidential Address at the Third Annual Meeting of the University Association for Emergency Medical Services, McMaster University, Hamilton, Ontario, Canada, May 25, 1973.
© 1974 Published by Elsevier Inc.