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By Westby G. Fisher, MD, FACC

Team-based patient care, that is, care involving multiple attending physicians from multiple services, multiple residents under work-hour restrictions, and a compendium of pharmacists, nurse practitioners, social workers, physical therapists and occupational therapists and the like -- seems to be the latest, greatest fad in medical care these days, especially in large health care systems.   While there are many advantages in this approach, there is also a disturbing shortcoming that I seem to be observing: something I'll call dilution of responsibility

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