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Surgical residency training has seen many changes in the past decades. Overall, the system has weathered external influences reasonably well and has been able to produce a high quality product. It is alarming that very distant alterations in a health care delivery system often directly influence postgraduate surgical education. One current distant rumbling is Representative Thompson's bill to recognize residency training as a service position rather than defining it as postgraduate education. This would designate the educational component of residency training as a minor part of the two faceted experience. Individuals in postgraduate programs would be eligible to use collective bargaining or other advantages offered to recognized labor organizations. This item has received minimal publicity among the medical and surgical professions. It has been rather alarming when organized medicine, such as the American Medical Association, has strongly supported Thompson's recommendation, indicating that this is a proper step forward for residents
EBERT PA. Surgical Residencies and Collective Bargaining. Arch Surg. 1978;113(6):677. doi:10.1001/archsurg.1978.01370180019001
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