Sobering, thought-provoking, challenging: These words describe well this Symposium. Regrettably, however, there was almost no voice representing the nation's 300 000 private medical practitioners.
Particularly noticeable during the conference was a thread indicating educational needs. For example, one speaker described the epidemic prescribing of antibiotics by physicians, and another noted Americans should have at least a 50–50 chance of not having a new diagnostic or therapeutic measure imposed on them without knowledge of its efficacy. There would be less likelihood of overprescribing, and of inappropriate use of therapeutic or diagnostic measures, if physicians better understood how to determine the efficacy