AMOSIST Malpractice Coverage

Bruce L. Thomas, MD
Arch Intern Med. 1976;136(6):733-734. doi:10.1001/archinte.1976.03630060085018.
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To the Editor.—  The article by Vickery et al in the May 1975 issue of the Archives (135:720-725, 1975) that described the success of the Automated Military Outpatient System (AMOS) project was very comprehensive regarding current practices and effects of the army corpsmen who act as physician's assistants (ie, (AMOSISTS), but it does not focus on the potential medicolegal problems that may evolve.I had the opportunity to implement the AMOS program at Kirk Army Hospital in April 1974, and served as chief of this project until June 1975. Our triage system processed more than 22,000 patients, and the AMOSISTs provided primary care to 9,000 patients during this period.The designers of the program did an excellent job in providing a functional system that provides a high quality of medical care to patients with acute and minor illnesses, while adeptly avoiding areas of maximal malpractice liability. Patient acceptance in our


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