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August 10, 1984

Mystique, Medical Training, and Clinical Excellence

Author Affiliations

University of Rochester School of Medicine Rochester, NY

JAMA. 1984;252(6):768. doi:10.1001/jama.1984.03350060020016

To the Editor.—  Dubovsky and Schrier1 most properly point out in their article entitled "The Mystique of Medical Training" that attending physicians must be sensitive and perceptive to the emotional needs of their house officers. They emphasize that in this highly stressful hospital environment, comments made by the attending may be perceived as hostile attacks, and they suggest that management errors be reviewed in a spirit of comradery where the attending acknowledges that "he has found himself in similiar straits" and that "anyone could have made similiar mistakes." Unfortunately, we don't practice medicine in such a loving and forgiving atmosphere. Physicians still are held in high esteem; there are often great expectations for a good outcome, and when one is not produced, we may face the wrath of the patient and the family. To practice clinical excellence is not so much a matter of brilliant clinical insight and recall

Dubovsky SL, Schrier RW:  The mystique of medical training .  JAMA 1983;250:3057-3058.Crossref