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In Support of Having Your Operation Where There Is Training of Surgical Residents

In Support of Having Your Operation Where There Is Training of Surgical Residents Abstract For those committed to the training of residents, the issue of who performs the surgery is an important one. The ethical question involved in persons placing themselves under the responsibility of a surgeon of their choice only to discover that the operation is performed, albeit under direct supervision, by a resident in training, can be difficult to resolve. Central to a free-enterprise philosophy is the belief that fee payment secures particular rights for the buyer (the patient), as well as somehow increasing his bond with the seller (the surgeon). If the surgeon is to depart from this implied relationship, such a move must be well understood by all parties. Additionally, pressure is presently being exerted on many urban teaching hospitals by the recent implementation of Section 227 of the Social Security Amendments of 1972 (Public Law 92-603), which potentially limits payments for surgery performed by the resident staff.1,2 Many References 1. Mason GR: Section 227 and the teaching hospital . Am J Surg 1980;139:311-312.Crossref 2. Hardy JD: The resident's responsibility . Am Coll Surg Bull 1980;64:116. 3. Dailey TH, Leff EI: Resident surgery—is it safe? Dis Colon Rectum 1978;21:85-88.Crossref 4. Kurtz LM, Wise L: A study of the impact of resident participation on the results of surgery for cholecystitis . Surgery 1979;86:530-535. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Surgery American Medical Association

In Support of Having Your Operation Where There Is Training of Surgical Residents

Archives of Surgery , Volume 116 (3) – Mar 1, 1981

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References (4)

Publisher
American Medical Association
Copyright
Copyright © 1981 American Medical Association. All Rights Reserved.
ISSN
0004-0010
eISSN
1538-3644
DOI
10.1001/archsurg.1981.01380150005001
Publisher site
See Article on Publisher Site

Abstract

Abstract For those committed to the training of residents, the issue of who performs the surgery is an important one. The ethical question involved in persons placing themselves under the responsibility of a surgeon of their choice only to discover that the operation is performed, albeit under direct supervision, by a resident in training, can be difficult to resolve. Central to a free-enterprise philosophy is the belief that fee payment secures particular rights for the buyer (the patient), as well as somehow increasing his bond with the seller (the surgeon). If the surgeon is to depart from this implied relationship, such a move must be well understood by all parties. Additionally, pressure is presently being exerted on many urban teaching hospitals by the recent implementation of Section 227 of the Social Security Amendments of 1972 (Public Law 92-603), which potentially limits payments for surgery performed by the resident staff.1,2 Many References 1. Mason GR: Section 227 and the teaching hospital . Am J Surg 1980;139:311-312.Crossref 2. Hardy JD: The resident's responsibility . Am Coll Surg Bull 1980;64:116. 3. Dailey TH, Leff EI: Resident surgery—is it safe? Dis Colon Rectum 1978;21:85-88.Crossref 4. Kurtz LM, Wise L: A study of the impact of resident participation on the results of surgery for cholecystitis . Surgery 1979;86:530-535.

Journal

Archives of SurgeryAmerican Medical Association

Published: Mar 1, 1981

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