Dr. Y, age 57, is an experienced general urologist who practices at a university hospital in the Northeast. In his clinical setting, the family physician—often one from the university’s own clinic—retains control of the patient even if he’s admitted by a specialist. This arrangement is ostensibly to ensure that the patient receives comprehensive care. Dr. Y, while conceding the validity of this holistic approach, resented having FP residents writing orders on his patients, orders that sometimes interfered with his care.