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- W2005220420 abstract "The surgical residency training system in the United States is arguably among the best in the world. Judging by the huge number of applications from foreign medical students, obtaining a position in a US surgery residency program is an enviable accomplishment. Perhaps the best attestation to the quality of US surgical training is its finished product: graduates are armed with the knowledge base, judgment, and technical expertise to face a wide range of challenging medical problems. The board certification process ensures that surgeons have amassed sufficient knowledge to practice their art safely, and this knowledge base is re-evaluated every 10 years. An ongoing accreditation process ensures that individual programs remain effective. By all accounts, the surgery residency system is working well, and tools have long been in place to detect and correct problems. Despite the high quality of the US surgery residency training process, surgery programs are being forced to change the way that residents are taught. Duty hour limitations, requirements for increased resident supervision, and decreased reimbursement have challenged the ability to train residents in the traditional model. Novel training paradigms have been proposed in surgical subspecialties. The net result is a reduction in the number of chief residents in general surgery, creating voids in longstanding service commitments of individual programs and reducing supervision of junior trainees. A number of changes in the way we train residents will be necessary to meet these challenges. Duty hour limitations have forced individual programs to develop innovative call schedules to meet educational and service needs, with a resulting negative impact on continuity of patient care [1]. Some hospitals have hired midlevel service providers to" @default.
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- W2005220420 date "2004-12-01" @default.
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- W2005220420 title "Integrating technical competency into the surgical curriculum: doing more with less" @default.
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- W2005220420 doi "https://doi.org/10.1016/j.suc.2004.06.007" @default.
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