Anyone affiliated with a teaching hospital knows that the controversy regarding resident work hours is heating up again. It's been over 5 years since the ACGME limited resident hours to 80 hours per week with a maximum of 30 consecutive hours. While this may not sound like 'reform', as someone who trained prior to these rules, it is definitely a change. More recently, the Institute of Medicine issued a ...

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Originally published in MedPage Today by Charles Bankhead From time to time, I hear a "mature" person lament the sad state of affairs of the "next generation." Sometimes I wonder whether the same concern should apply to the next generation of doctors. I was at a cardiology meeting, and my schedule included a breakfast program. As I headed toward the meeting, I ...

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Originally published in MedPage Today by Emily P. Walker, MedPage Today Washington Correspondent More that a year after the Institute of Medicine (IOM) issued a report calling for mandatory naps for medical residents, the organization responsible for implementing -- or rejecting -- the IOM's controversial recommendation has yet to make a decision. The Accreditation Council for Graduate Medical Education (ACGME), which has ...

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The following is part of a series of original guest columns by the American College of Physicians. by Steven Weinberger, MD, FACP In December 2008 the Institute of Medicine (IOM) released its report entitled “Resident Duty Hours: Enhancing Sleep, Supervision, and Safety,” in which it proposed a number of changes to the current regulations developed and enforced by the ...

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Currently, the most important test prospective medical students take is the Medical College Admission Test, or MCAT. Despite what schools say, an MCAT score holds tremendous weight, more so than a brilliant essay or a stellar recommendation letter. In an interesting New York Times piece, Pauline Chen wonders whether that score itself leads to a great physician. She discusses an article showing that students' cognitive traits may be equally important. Although students ...

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Early last year, my boss Talmadge King and I were at an ABIM meeting (we’re both on the board), and the group was debating a controversial topic. Another participant at the meeting, like Talmadge the chair of a prominent department of medicine, said, “We polled 250 people at our grand rounds last week, and they said ‘X’.” The audience gasped – ‘X’ was a completely unexpected response. Talmadge ...

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The following is part of a series of original guest columns by the American College of Physicians. by Steven Weinberger, MD, FACP At times of calendar transitions, e.g., at the onset of a new year or a new decade, the popular press often takes a broad view in looking retrospectively at the outstanding or defining events and people of the past ...

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It's no secret that without a stronger primary care foundation, the current reform efforts are unlikely to be successful. If anything, it will only delay the inevitable. I wrote last month that one discussed solution, adding more residency slots, won't help: it would simply perpetuate the disproportionate specialist:primary care ratio. A recent op-ed in The New York Times expands on that theme. The authors suggest that not only does ...

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Originally posted in MedPage Today by Kristina Fiore, MedPage Today Staff Writer Medical students are frequently stuck by needles, and few report their accidents, researchers say. In a survey, about 60% of surgery residents reported being stuck with a needle while they were in medical school, Martin A. Makary, MD, MPH, of Johns Hopkins, and colleagues reported in the December issue of ...

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Among the many differences between the U.S. and the French health-care systems is the approach to medical training. While U.S. medical school graduates in 2008 had an average debt of $154,000, French medical students receive their training virtually for free. For example, first-year medical students at the Faculte de Medecine Pierre et Marie Curie in Paris have only one mandatory cost for this year: an enrollment fee of $264. The amount ...

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