| Autor: |
J M, Brensilver, L, Smith, C S, Lyttle |
| Předmět: |
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| Zdroj: |
Europe PubMed Central |
| Popis: |
Residency training in New York State was substantially altered by the Libby Zion case. Work-hour limitations and augmented supervisory requirements changed the patterns of training--particularly in internal medicine--but with uncertain impacts on the quality of education and patient care. In this historical analysis, we review another major effect of the case: a substantial augmentation of the number of trainees. The need to maintain adequate inpatient staffing--within the ground rules of the Residency Review Committee, and in consideration of the reimbursement formulae and financial climate of New York State--conspired to promote substantial residency program expansion. Similar forces contributed to a national trend to increase the number of trainees. The history, cost and impact of these personnel changes are reviewed. |
| Databáze: |
OpenAIRE |
| Externí odkaz: |
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