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The Nonattending Physician

Leland Albright, MD1
[+] Author Affiliations
1Department of Neurosurgery, University of Wisconsin Health Center, Madison, and Kijabe Hospital, Kijabe, Kenya.
JAMA Surg. 2013;148(8):702. doi:10.1001/jamasurg.2013.369.
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I was an academic pediatric neurosurgeon at large medical centers in the United States for many years before moving to Kenya 2 years ago to do and teach pediatric neurosurgery. It seems that in those 2 years a sea change in medical care has occurred in the United States.

Six months after we moved to Kenya, my wife, a pediatric nurse practitioner, developed biliary colic and underwent an uneventful endoscopic cholecystectomy in our Kenyan hospital. In the year following the cholecystectomy, she had several bouts of pain like the biliary colic and a diagnosis of sphincter of Oddi spasms was considered. We decided to return to a medical center in the United States with a gastroenterologist who had special expertise treating people with sphincter of Oddi problems.

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The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
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