PubMed · 10256694
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J D Levy, P Johnston, B Bader. 1982. Collaborative practice revisited.. https://pubmed.ncbi.nlm.nih.gov/10256694/
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On a bright, sunny April 1859 afternoon in Washington, D.C., a brutal murder occurred in Lafayette Park, directly across from the White House. Ironically, a close friend of President James Buchanan shot and killed his wife's lover. Daniel E. Sickles, a cuckolded U.S. Congressman, attacked and killed Philip Barton Key, the U.S. Attorney for the District of Columbia. Key was one of the eleven children of Francis Scott Key, the author of the poem that became The Star Spangled Banner. At the trial, Sickles' seven lawyers presented an insanity plea claiming that an "uncontrollable frenzy" created a 'brainstorm" resulting in temporary insanity. In addition, the defense argued that the "unwritten law" provided immunity to a husband who avenged his honor. Only lay witnesses testified as to Sickles' intense emotional outrage. There was no expert medical witness to support the insanity plea. Prosecutors maintained that the killing was a premeditated murder, or at the very least manslaughter.
OBJECTIVES: Military medical subspecialists consult with referring physicians, direct patient care and education, support isolated subspecialists, and maintain cohesive readiness plans. The World Wide Web appears promising in fulfilling these roles. METHODS: A website providing directed resources, the Walter Reed Army Medical Center Nephrology Service website (http:@www.wramc.amedd.army. mil/departments/medicine/nephro/NEPHROLOGY/index.htm!), is described in the context of its role in military medicine and online publishing. RESULTS: The Walter Reed Army Medical Center Nephrology Service website provides educational resources for both patients and physicians worldwide. It remains the only Army internal medicine website to offer online category I continuing medical education credits free to military physicians, and it also allows online graduate medical education. CONCLUSIONS: Military medical subspecialty programs can use the World Wide Web to provide consultation and education to distant and isolated patients and providers in a practical, feasible manner. This process can be expanded to education in operational medicine and other military-specific medical topics.