As a finishing chief resident, I feel that we need to take a hard look back at what has been done to our residency and training programs during the past decade. The recent ARCHIVES article by Wallack and Chao1 publicized the ongoing debate concerning resident work hours.
There has been a great deal of commentary about this transition: the changes in the hours, costs involved, and supervision and regulation of the residency programs. However, very little has been written about how these changes, along with the elimination of the pyramidal system, have affected the surgical resident—specifically the attitude of the surgical resident.
Komenaka IK. Complacency: The New Attitude of the Surgical Resident. Arch Surg. 2002;137(10):1196. doi:10.1001/archsurg.137.10.1196