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Ann Thorac Surg 1993;55:1296-1302
© 1993 The Society of Thoracic Surgeons
a The University of North Carolina School of Medicine, Chapel Hill, North Carolina, USA
b The Ad Hoc Committee on Graduate Education in Thoracic Surgery USA
* Address reprint requests to Dr Wilcox, CB 7065, 108 Burnett-Womack Bldg, University of North Carolina. Chapel Hill, NC 27599-7065.
To summarize this rather wide-ranging study, let us review the high points. The future practice of thoracic factors and will have even greater technological dimensions. To do this work, we must continue to attract high-caliber individuals, and this is test accomplished by the early and continuing involvement in the educational process of strong role models from our field. These future surgeons must be motivated to do good work and should have high ethical standards as well as maturity and high intelligence. Experienced, involved faculty leading the residents through a broad program that offers graduated assumption of clinical and leadership responsibilities will facilitate the development of mature clinical judgment. Residents must be taught the clinical skills necessary to do all thoracic operations, leaving subspecialization to post-residency fellowships. The educational program should be humane in its demands and collegial in its application. It should incorporate experiences beyond the operating room, including the opportunity to read, think, and interact with local mentors and colleagues from around the country. The requirements of certification should not be so rigid as to preclude the development of different pathways to the same end. Likewise, although the accreditation process must protect the resident from exploitation, it must not be so restrictive that it does not allow for educational innovation and justifiable differences among programs.
These are the thoughtful opinions of our colleagues. They deserve serious consideration.
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