The American Medical Association laid off 21 of its 1,200 staffers last week in connection with a restructuring.
Workers were eliminated in the areas of policy development and communications with state and county medical societies, AMA spokesman Dan Maier said.
In late September Mr. Maier told MODERN HEALTHCARE no "downsizing" was anticipated. Last week he said the restructuring uncovered areas of duplication, prompting the reductions, but staff might be added in other areas, such as ethics.
The AMA is refocusing its mission on assisting members, particularly in structuring their practices to maintain autonomy and establishing their own managed-care plans (See related story, p. 17).