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When primary care physicians, such as family medicine, emergency medicine, and internal medicine have journal clubs and grand Rounds they often invite the specialists for their expertise and knowledge of the medical literature. When reviewing a neurological disease the neurosurgeon may be invited for example. When reviewing a gynecological disease a gynecologist may be invited for example. But right now there is no excellent mechanism for the primary care physician to be looking over the shoulder of the specialists. There is not an easy mechanism to look over their literature and the evidence-based medicine status of what they do. Doesn't every specialty in medicine need to be looking over the shoulder of every other specialty? Wouldn't better checks and balances prevent disasters like the misuse of the frontal lobotomy and the epidemic of unnecessary hysterectomies that happened in the past?