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quality (Freidson, 2001). In one notable study, practicing physicians viewed administrators with medical degrees (e.g., the M.D.) as "outsiders" to the medical profession because of what the physicians believed to be the administrators' undue emphasis on organizational goals (Hoff, 1999: 336). Practicing physicians viewed administrators with MDs more negatively than those without MDs because the former were thought to have "betrayed" the medical profession by assuming administrative roles (Hoff, 1999:

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