Dr John J. Fisher, a Jacksonville obstetrician, believes that, "The ivory-tower men can have their ultratechnical journals.... We working doctors can publish official journals concerned with clinical medicine."1 Dr Fisher insists that academicians have set up impossible practice standards through ignorance of everyday medicine, and he offers this cure: "All that's necessary is to divide our specialties into two divisions each. One would be for the practicing clinicians. The other division would be for those physicians who profess rather than practice their art, the teachers."
Should we abandon the current structure of specialty clinical societies and establish separate journals and conventions? What would be the effect of such a division on the practice and teaching of medicine? I submit that implementation of Dr Fisher's recommendations would result initially in disruption of communication, and ultimately in alienation of interdependent segments of the medical community. Teachers and practitioners have a symbiotic