Much controversy has surrounded the medical community regarding the removal of hour restrictions for incoming first-year residents. Sleep deprivation is an issue, although the change is not as dramatic as it sounds. In 2011, because of concern about the ability of

Boutique medicine has come of age and is called many things: retainer medicine, direct patient contracting practice, concierge medicine, VIP care, luxury practice, direct primary care, cash-only,  or direct specialty care practices. The terminology obscures the controversial consequences to the

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