RT Journal
T1 THis month in archives of surgery
JF Archives of Surgery
JO Archives of Surgery
YR 2002
FD November 1
VO 137
IS 11
SP 1216
OP 1216
DO 10.1001/archsurg.137.11.1216
UL http://dx.doi.org/10.1001/archsurg.137.11.1216
AB 
If it were easy, there would already be solutions to these problems. Instead, the report by Neumayer et al presents a survey of program directors and their attempts at adjudication. The authors point out that we have not achieved an 80-hour week as is sought by many, that the most effective way of dealing with this problem is the use of physician extenders, that women remain underrepresented in the various programs (24% of residents), that attrition during the program is substantial, and that program directors feel the applicant pool is shrinking. Furthermore, the concept of continuity of care has been sacrificed because of resident concerns and that responsibility has been shifted, to some degree, to staff and attending surgeons. How can we resolve these issues?