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International Surgery: Closing the "New Generation" Gap
R. Serene Perkins, MD
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"Delayed maturation . . . uncommitted . . . come and go . . . better quality of life . . . can we adapt?"1 Many "new generation" surgeons admit to the same frustrations as our mentors do. For those of us who endured the sudden restriction in work hours and responsibilities midway through our residencies, such labels were not in our vocabularies. Subsequently, many of us struggled with how best to serve our patients with a decreased workforce, increased workloads, and less time and fewer resources with which to get it all done.
Shortly after completing my residency, I traveled to India and Pakistan to work as a surgeon. In a tiny rural hospital in post-earthquake Pakistan, a decreased workforce meant no scrub nurse; increased workloads meant working 24/7 (including C-sections) with no foreseeable time off; and less time and fewer resources meant no general anesthesia. The situation was comparable in rural India, despite the virtual explosion in the country's economic . . . [Full Text of this Article] AUTHOR INFORMATION
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