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Understanding service lines and its advantages

The evolving relationship between physicians and hospitals is a far cry from that which gave rise to the organized medical staff in the early 20th century. From the 1920s into the 1980s, joining a medical staff was an essential step for most physicians. During this time, hospital privileges truly were a privilege. Once granted, physicians were fairly certain that they would earn a good living, have professional autonomy, and practice with professional satisfaction. The medical staff was perceived as a club they wanted to join. Physicians gained entrance generally through a department that they served by taking emergency department call and filling leadership positions, which was thought to be a great honor. However, this social contract is unraveling, and the traditional medical staff organized by departments is often insufficient to meet the new challenges posed by the rapidly evolving and changing healthcare environment.

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