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Invited Critique
Sep 2012

Failure to Rescue From Residents?

Author Affiliations

Author Affiliation: Department of Surgery, Madigan Army Medical Center, Tacoma, Washington.

Arch Surg. 2012;147(9):862-863. doi:10.1001/archsurg.2012.1802

As surgeons and educators, we often do not hesitate to present our achievements or “superior” results and rarely put as much effort into airing our shortcomings. So, when an esteemed group from one of our top teaching hospitals presents data that say we may not be doing as well as our nonteaching center colleagues, we should listen, but should we believe it? In this issue of the Archives of Surgery, Bukur and colleagues1 at Cedars-Sinai Medical Center, Los Angeles, California, have written an interesting and thought-provoking analysis of nationwide outcomes from level II trauma centers. Although the subject of the article is the influence of resident involvement in trauma care, their data look at a much broader and complex question, the differences between outcomes at teaching vs nonteaching centers.

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