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Chris, Nita and others, I also don't think that the best doctors publish. I do think that some of the best physicians that I know have published but they were extraordianary people who did almost everything in any case. But academia is filled with people who follow the maxum "Those that cannot do- teach"and therefore by the requirements of academia write a lot of meaningless papers. I think that the best researchers publish their work in good journals for everyone to see and criticize scientifically(purposely try and poke holes in a thesis) and you will find some of the best physicians (at least most knowledgeable ) in academic settings but that is not a guarantee. Some MD's cannot relate to patients and that is why they are in research to begin with. Teaching can also get in the way of good patient care but the two are not irreconcilable and the best teachers I had were also respected and liked by their patients. If a good medical teacher does not respect the dignity of his patient then he isn't a good teacher. He is by example teaching his/her students to disrespect patients. Also you will find a lot of fine physicians who go into practice some in primary care because of their caring about patients. For something like PD care though one can have as good physician who can relate to his patients well and exchange the information they need from with that person but is not aware of the latest developments and cannot be because they are generalists and cannot know the latest trends in the treatment of every area disease that they see patients. I therefore recommend to PWP that they at least have a consultation with a movement disorders specialist on diagnosis and at regular intervals say 1x per year to be sure that there isn't something new or on the horizon which may be better than a local neurologist or primary care doctor can offer. Charlie Charles T. Meyer, M.D. Middleton(Madison) WI [log in to unmask] ----- Original Message ----- From: Nita Andres <[log in to unmask]> To: <[log in to unmask]> Sent: Sunday, October 24, 1999 10:14 AM Subject: Re: good doctors and publication > Physicians who publish in peer review journals and not better than those who do > not publish, at least in my experience. Papers are hard to write , should be > written about something unusual or definitely useful, they are not necessary > either. I am a nurse who has published 3 times, following those criteria. It is > not easy publishing under those circumstances ( being a nurse who published in > medical journals, probably accepted because I was an Infection Control Nurse , > constantly running into unusual things ) they were surely unusual, too and no > ones fault, things just happen. Can't say I was a better Infection Control Nurse > than others. Nita > > Chris van der Linden wrote: > > > More importantly, how can you see patients properly, when you publish that > > often. Remember, the ones who publish very much may not be the best > > doctors. This is not personal towards Dr. Sandyk (I don't know him > > personally), but a more general statement. > > > > The next question off course is: Do physicians, who publish in peer reviewed > > journals are better physicians than the ones who don't publish? > > > > greetings, > > > > Chris van der Linden >