[Skip to Content]
[Skip to Content Landing]
Views 340
Citations 0
Comment & Response
September 16, 2020

Change the Trainee, or Change the Training Environment?

Author Affiliations
  • 1Division of General Surgery, Department of Surgery, University of Toronto, Toronto, Ontario, Canada
JAMA Surg. Published online September 16, 2020. doi:10.1001/jamasurg.2020.3775

To the Editor In “Reflections of a Millennial Surgeon: The Changing Face of Medical Education,”1 Clifton traces the arc of medical education toward increasing learner control over the process. Citing Golding’s Lord of the Flies as a cautionary tale, Clifton warns that this ideological shift fails to acknowledge the self-destructive potential of autonomy granted too soon. Rather than duty hour restrictions and student evaluations of curricula, Clifton argues learners’ needs would be best served by an attitudinal shift of learners to embrace humility and seek out wisdom dispensed from critical mentors. Learners who fail to gain an unvarnished appreciation of the realities of the surgical profession risk realizing too late that it is not fit for them.

Limit 200 characters
Limit 25 characters
Conflicts of Interest Disclosure

Identify all potential conflicts of interest that might be relevant to your comment.

Conflicts of interest comprise financial interests, activities, and relationships within the past 3 years including but not limited to employment, affiliation, grants or funding, consultancies, honoraria or payment, speaker's bureaus, stock ownership or options, expert testimony, royalties, donation of medical equipment, or patents planned, pending, or issued.

Err on the side of full disclosure.

If you have no conflicts of interest, check "No potential conflicts of interest" in the box below. The information will be posted with your response.

Not all submitted comments are published. Please see our commenting policy for details.

Limit 140 characters
Limit 3600 characters or approximately 600 words