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Healthcare has changed dramatically over the past fifty years. Theories abound as to the various causes and their effects – with managed care, the Generation X work ethic, and increased numbers of women in medicine being three commonly cited reasons for the decline of the traditional “family doc” who made house-calls and whose work hours were 24/7 as needed and the steep increase in the “physician shift worker” who figuratively clocks in and out and leaves his pager behind when he is off duty.

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