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Every group is different, therefore, the answer is different for each group.
Therefore, the physician cannot take the lead in evaluating and providing vision for the group. Generally, the chief administrative officer is responsible for providing a strategic plan to the governing board of the group. To position the group, a critical, in-depth evaluation must be made of the group's strengths and weaknesses. We were told during the recent series of seminars sponsored by the Academy that clinical expertise is no longer enough to maintain a market share. Every doctor seems to think he or she does the best job with the patients, but we cannot rely on good patient care as the only tool for success.