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Change the Trainee, or Change the Training Environment?

Change the Trainee, or Change the Training Environment? Letters cation list during the most recent preoperative encounter Change the Trainee, or Change before the surgical procedure. Furthermore, when the half- the Training Environment? life of metformin may be several hours in critically ill To the Editor In “Reflections of a Millennial Surgeon: The patients, a study showed that an association between met- Changing Face of Medical Education,” Clifton traces the arc formin use prior to admission and lower mortality in adult of medical education toward increasing learner control over patients with sepsis with diabetes. Thus, it did not seem per- the process. Citing Golding’s Lord of the Flies as a cautionary suasive that metformin in 180 days before surgery could tale, Clifton warns that this ideological shift fails to acknowl- completely improve the postoperative outcomes in patients edge the self-destructive potential of autonomy granted too with diabetes without confirming the effective time of met- soon. Rather than duty hour restrictions and student evalua- formin. Second, the articles pointed out that more than one- tions of curricula, Clifton argues learners’ needs would be third of patients were treated with insulin and had adequate best served by an attitudinal shift of learners to embrace glucose control. However, the hemoglobin http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png JAMA Surgery American Medical Association

Change the Trainee, or Change the Training Environment?

JAMA Surgery , Volume 155 (12) – Dec 16, 2020

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Publisher
American Medical Association
Copyright
Copyright 2020 American Medical Association. All Rights Reserved.
ISSN
2168-6254
eISSN
2168-6262
DOI
10.1001/jamasurg.2020.3775
Publisher site
See Article on Publisher Site

Abstract

Letters cation list during the most recent preoperative encounter Change the Trainee, or Change before the surgical procedure. Furthermore, when the half- the Training Environment? life of metformin may be several hours in critically ill To the Editor In “Reflections of a Millennial Surgeon: The patients, a study showed that an association between met- Changing Face of Medical Education,” Clifton traces the arc formin use prior to admission and lower mortality in adult of medical education toward increasing learner control over patients with sepsis with diabetes. Thus, it did not seem per- the process. Citing Golding’s Lord of the Flies as a cautionary suasive that metformin in 180 days before surgery could tale, Clifton warns that this ideological shift fails to acknowl- completely improve the postoperative outcomes in patients edge the self-destructive potential of autonomy granted too with diabetes without confirming the effective time of met- soon. Rather than duty hour restrictions and student evalua- formin. Second, the articles pointed out that more than one- tions of curricula, Clifton argues learners’ needs would be third of patients were treated with insulin and had adequate best served by an attitudinal shift of learners to embrace glucose control. However, the hemoglobin

Journal

JAMA SurgeryAmerican Medical Association

Published: Dec 16, 2020

References