To the Editor.—We read the article by Shaked et al1 in the May 1991 issue of the Archives with interest. We would like to share our opinion, and convey a few suggestions. Yes, we too believe that surgery performed by residents under "painstaking supervision" and guidance of a consultant who is aware of his or her resident's capabilities and drawbacks, is safe. The constraint in such a study is judging whether it is really possible to obtain "true consent" from a patient who would, obviously, like to get operated on by a consultant. Second, the need for intraoperative assistance or to have a consultant take over the case for tackling an unusual anatomical/pathological difficulty will make correct interpretation of such a study difficult. Practice being an inseparable part of training, the training would suffer unless the surgeon-in-making gets to perform surgery. Hence, a variable is required that
SHARMA AK, SURANGE R, MISHRA SK. Safety of Surgical Procedures. Arch Surg. 1992;127(8):993. doi:10.1001/archsurg.1992.01420080127023
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