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—The thoughtful letter from Dr Bohlmann regarding the implications of absence from duty of one resident for all of the others in the residency program highlights the most difficult of the issues regarding pregnancy during graduate medical education. In surgical programs, in contrast to primary care residencies, this issue may be, in fact, easier to address. If the resident notifies her program director at an early date, and if the resident assumes the responsibility for family planning to avoid becoming pregnant during the most demanding years of her program, it is clearly possible to schedule not only "light" rotations but vacation time as well. We have always done this without warning or planning when a resident falls ill or has an accident; major fractures from skiing accidents, for instance, are not uncommon in residents. It is far better, in our opinion, to avoid assigning extra work to the
Huang E, Jonasson O. Pregnant Surgical Residents: Oh K?!-Reply. JAMA. 1991;266(16):2223. doi:10.1001/jama.1991.03470160054023