PASCAL JAMES IMPERATO, M.D.
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To the editor: In its position paper on evaluation of humanistic qualities in the internist (1), the Subcommittee on Evaluation of Humanistic Qualities in the Internist of the American Board of Internal Medicine states, "Reimbursement regulations shift responsibility for patients from residents to attending physicians and other faculty physicians. Although this shift may create better role models in faculties, residents may lose a sense of accountability."
There is no law of nature that decrees that residents cannot learn accountability in the presence of responsible supervision. Too often the alleged need to teach accountability and the development of self-confidence to residents
IMPERATO PJ. Accountability and House Staff. Ann Intern Med. ;100:456–457. doi: 10.7326/0003-4819-100-3-456_2
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Published: Ann Intern Med. 1984;100(3):456-457.
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