The Journal of Bone and Joint Surgery (American). 2008;90:429-437.
doi:10.2106/JBJS.F.01426
© 2008 The Journal of Bone and Joint Surgery, Inc.
AOA SymposiumOrthopaedic Residency Training: Are We Meeting Expectations?*
Richard H. Gross, MD1,
Jennifer Greene, PhD2,
Richard Haynes, MD3 and
Michael F. Schafer, MD4
1 171 Ashley Avenue, Charleston, SC 29425. E-mail address: grossr@musc.edu
2 New College, St. Edward's University, 3001 South Congress Avenue, Austin, TX 78704. E-mail address: jennifrg@stedwards.edu
3 6977 Main Street, Houston, TX 77030-3701. E-mail address: rhaynes@shrinenet.org
4 Department of Orthopaedic Surgery, Northwestern University Feinberg School of Medicine, 645 North Michigan Avenue, Suite 910, Chicago, IL 60611. E-mail address: m-schafer@northwestern.edu
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Introduction
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The residency training process is presently undergoing substantial changes; the number and pace of these changes are occurring to a greater degree than anything seen in the past couple of generations. The introduction of the Accreditation Council for Graduate Medical Education (ACGME) core competencies and the institution of the eighty-hour workweek—to name just two examples—have changed residency training to such an extent that those who were trained thirty—or even ten—years ago are astonished at the difference. What should we currently expect from this changing educational process?
There are a number of "customers" of the residency training process, including society, patients, residents, faculty, and deans. Two of these groups with sizeable investments in residency training are directly affected by the current changes in the educational process: the residents, who invest five years of effort while receiving a low salary, and society, which underwrites much of the cost of medical education and . . . [Full Text of this Article]

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