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Previous Volume 355:2664-2669 December 21, 2006 Number 25 Next

	Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

	Full Text PDF PDA Full Text PowerPoint Slide Set Supplementary Videos Editorial by Aggarwal, R. Letters Add to Personal Archive Add to Citation Manager Notify a Friend E-mail When Cited E-mail When Letters Appear PubMed Citation

Sir William Halsted introduced a German-style residency training system with an emphasis on graded responsibility at Johns Hopkins Hospital in 1889.¹ This system remains the cornerstone of surgical training in North America more than a century later. However, advances in educational theory, as well as mounting pressures in the clinical environment, have led to questions about the reliance on this approach to teaching technical skills.

Those pressures include a move toward a shorter workweek for residents^2,3 and an emphasis on operating room efficiency, both of which diminish teaching time. Yet the patients in our teaching hospitals are generally much sicker . . . [Full Text of this Article]

Source Information

From the Department of Surgery, University of Toronto, University Health Network (R.K.R.); and the University of Toronto Surgical Skills Centre at Mount Sinai Hospital (H.M.) — both in Toronto.

Address reprint requests to Dr. Reznick at the Department of Surgery, University of Toronto, Suite 311, 100 College St., Toronto, ON M5G 1L5, Canada, or at richard.reznick@utoronto.ca.

Related Letters:

Teaching Surgical Skills
Dandolu V., Newmark J., MacRae H., Reznick R.
Extract | Full Text | PDF  
N Engl J Med 2007; 356:1381, Mar 29, 2007. Correspondence

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