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Article
March 9, 1984

House Officer Employment

Author Affiliations

Medical Student New York University Brooklyn

JAMA. 1984;251(10):1279. doi:10.1001/jama.1984.03340340021013
Abstract

To the Editor.—  Dr Kettel's1 recent letter entitled "What Price Salary?" reveals some fundamental differences in philosophy between generations of physicians. The clarification of these differences may lead to a better understanding.Dr Kettel believes issues of sleep deprivation, psychological burdens, and lack of time for interpersonal relationships in residency were "somehow... better managed" during his training. Perhaps they were just ignored. That house officers should acknowledge these concerns and wish to express them is consistent with medical advice for emotional well-being.Whether underpaid, overworked house officers of the past were truly more respected, as Dr Kettel states, or indeed felt sorry for, is unclear. Certainly one does not need to be poor to be respected. I'd prefer not to rely on a support system consisting, in part, of people who "felt an obligation because I was not being paid." Friends and colleagues who share concerns should do so

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