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.
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Sue-Chue-Lam C. Change the Trainee, or Change the Training Environment? JAMA Surg. Published online September 16, 2020. doi:10.1001/jamasurg.2020.3775
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