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August 4, 1951


Author Affiliations

227 First Ave., N. E., Clarion, Iowa

JAMA. 1951;146(14):1340. doi:10.1001/jama.1951.03670140066026

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To the Editor:  —In regard to the excellent letter of E. P. Lehman in The Journal, May 19, 1951 (page 279), would it not be relevant to express this one truth, that men performing surgical operations should be able to do so safely and well? There is more than one path to any truth. Some men learn best through a residency type of training, others through assistantships. Some men who complete residencies still cannot perform good surgical work. Some residencies give insufficient experience and responsibility, so that such training does not automatically imply excellence.In the hospital where I work, there are two men carrying on a heavy surgical schedule, one in general surgery, the other in gynecologic surgery, with a very minimal mortality rate. Other general practitioner surgeons with whom I am acquainted perform three and four hundred consecutive major operations without a death.It is not where a

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