The Oobleck of resident education

By William A. Grana, MD, MPH

I think the commentary (“Let’s rethink how we train orthopaedic surgical residents” by Joseph E. Sheppard, MD, AAOS Now, April 2009) clearly stated the issues currently facing many public institutions in successfully maintaining comprehensive educational programs for orthopaedic residents while retaining quality faculty in fiscally sound environments.

The proposed hybrid model might work in selected situations if community faculty understand that academic activity is the primary expectation. This means the community physician is expected to regularly attend conferences and journal clubs and to participate in scholarly activity that includes critical analysis of his or her own practice outcomes.

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