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Successful Private Practice In The 1990s by Ralph H. Earle, Joan Kaye Beigel

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From Contact to Contract:Institutional Affiliation

You now have some good ideas about how to take your private practice public, thus creating an independent practice. You may, however, begin to wonder about maintaining your independence in the face of burgeoning megainstitutions, which now provide an ever-increasing percentage of health care services in this country. Although these are not all large organizations, the trend is toward consolidation.

Given this fact, it is unrealistic to think you can develop a successful independent practice without having some level of affiliation with institutions—for example, universities, hospitals, clinics, ...

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