As I was browsing the classifieds in the journal "Family Practice News" a few weeks ago, I noted a very disturbing ad placed by the Department of Family Practice at the University of Alabama at Birmingham. They are apparently seeking a Residency Director. According to the classified, the requirements are as follows: M.D. degree, graduation from an LCME accredited medical school and board certificiation by the ABFP. In a letter that I wrote to the Chairman of the Department, Dr. Jerry McKnight, I expressed my dismay in that: 1. Not all physicians who are licensed in the state of Alabama have the M.D. degree. Some are D.O.'s and still others may possess the MBBS or equivalent degree. 2. Not all medical schools are accredited by the LCME. Yet, LCME accreditation is not a measure of the quality of a medical school. 3. Not all family medicine specialists are accredited by the ABFP. Some are boarded by the osteopathic board of familly medicine. Still others, who may have trained in a foreign country, may not have gone through either of these governing bodies. The point of this is that this classified seems to blatantly discriminate based not only on medical degree, but on where one received residency training. In my letter, I expressed my opinion that the measure of a physicians qualification SHOULD be: 1. Eligibility to practice medicine and surgery, unrestricted, in the state of Alabama. 2. Proof of graduation from ANY accredited medical school. I can assume if one is eligible for a state license, that this is already assumed. 3. Graduation from any residency program where the physician demonstrates competence and has passed any state equivalency exam. Of course, the residency should be accredited by SOME accrediting body, but why on earth does it HAVE TO BE THE ABFP? At any rate, to this date, I have not received a reply from Dr. McKnight, which to me, speaks volumes. I forwarded the letter to both the AOA and AMA for their review. Still awaiting their reply. Let this be a warning for all you non M.D., LCME, ABFP doctors out there: The University of Alabama doesn't want you!!