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The Evolution of a Revolution

Claude H. Organ, Jr, MD

Arch Surg. 2001;136:1426-1432.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

Editor's Note:

General Surgery programs were cited 36% for work hours and related requirements in 1999 and 35% in 2000. Pediatric Surgery programs were cited 53% (1999) and 44% (2000).¹ The RRC(Surgery) definition of work environment and hours (section F below)² warrants constant review, clarification, even specification.

F. Working Environment and Hours

Graduate education in surgery requires a commitment to continuity of patient care. This continuity of care must take precedence—without regard to the time of day, day of the week, number of hours already worked, or on-call schedules. At the same time, patients have a right to expect a healthy, alert, responsible and responsive physician dedicated to delivering effective and appropriate care.

The program director must establish an environment that is optimal both for resident education and for patient care, while ensuring that undue stress and fatigue among residents are avoided. It is his or her responsibility to ensure assignment of . . . [Full Text of this Article]

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