Contemporary departments in academic medical centers face challenging obstructions to the sometimes conflicted missions of education, research, and patient care. While the ward demands of patients and families have remained stable or increased, the availability of both attending faculty and residents has often decreased due to the requirements of relative value unit production and trainee duty hour limitations. The Department of Neurological Surgery at the University of Washington has evolved a novel solution to provide senior level attending coverage and bedside mentoring to help fill these gaps.
StarrP. The Social Transformation of American Medicine. New York: Basic Books; 1982.
2.
BryanCSLongoLD. Mentoring and teaching the history of medicine. Acad Med. 2012;In press.
3.
HaffertyFWCastellaniB. The increasing complexities of professionalism. Acad Med. 2010;85(2):288–301.
4.
MullerPS. AM last page: Sir William Osler’s major contributions to medical education. Acad Med. 2010;85(7):1260.
5.
BryanCS. HIV/AIDS, ethics, and medical professionalism: where went the debate?Trans Clin Climatol Assoc. 2003;114:353–376.
6.
CushingH. The Life of Sir William Osler. London: Oxford University Press; 1940.
7.
RapportRL. Physician: The Life of Paul Beeson. Fort Lee, NJ: Barricade Books; 2001.
8.
MezrichRNagyPG. The academic RVU: a system for measuring academic productivity. J Am Coll Radiol. 2007;4(7):471–478.
9.
Report of the ACGME Work Group on Resident Duty Hours. Chicago, IL: Accreditation Council for Graduate Medical Education; 2002.
10.
DolaCNelsonLLauterbachJDegefuSPridjianG. Eighty hour work reform: faculty and resident perceptions. Am J Obstet Gynecol. 2006;195(5):1450–1456.
11.
DumontTMRughaniAIPenarPLHorganMATranmerBIJewellRP. Increased rate of complications on a neurological surgery service after implementation of the Accreditation Council for Graduate Medical Education work-hour restriction. J Neurosurg. 2012;116(3):483–486.
12.
LowensteinJ. Where have all the giants gone? Reconciling medical education and the traditions of patient care with limitations on resident work hours. Perspect Biol Med. 2003;46(2):273–282.
13.
RapportRLHoweJFEllenbogenRG. How to recycle a used brain surgeon. Neurosurgery. 2010;67(2):234–236.
