医生们在医院医务人员论坛上表达了担忧。

Hosp Med Staff. 1980 Aug;9(8):13-6.

When physicians and administrators at Sinai Hospital of Detroit convened at a medical staff forum, the physicians became more familiar with administrators, operational problems were identified, and a monthly newletter on health care issues for physicians was born.

底特律西奈医院的医生和管理人员在一次医务人员论坛上齐聚一堂，医生们对管理人员有了更多了解，找出了运营问题，一份面向医生的关于医疗保健问题的月度通讯由此诞生。