The authors' analysis of survey data pointed to a number of areas of dissatisfaction among psychiatrists. However, before examination of their findings, the reliability of their data must be addressed. Their analysis was based on questionnaires completed by 314 psychiatrists who participated in a national survey of a stratified sample of 10,250 physicians of all specialties. A total of 4,720 physicians returned the questionnaire, and of these 314 were psychiatrists. To assess whether this sample is representative of the 52,000 U.S. psychiatrists, one would need to know how many questionnaires were sent to psychiatrists and what methods were used to determine whether respondents were similar to nonrespondents. Because the authors did not provide this information, the reliability of the data—and the findings—cannot be assessed.