Display Settings:

Format

Send to:

Choose Destination
See comment in PubMed Commons below
Mt Sinai J Med. 1998 Sep;65(4):296-300.

Impact of the Libby Zion case on graduate medical education in internal medicine.

Author information

  • 1Sound Shore Medical Center of Westchester, New Rochelle, NY 10802, USA.

Abstract

Residency training in New York State was substantially altered by the Libby Zion case. Work-hour limitations and augmented supervisory requirements changed the patterns of training--particularly in internal medicine--but with uncertain impacts on the quality of education and patient care. In this historical analysis, we review another major effect of the case: a substantial augmentation of the number of trainees. The need to maintain adequate inpatient staffing--within the ground rules of the Residency Review Committee, and in consideration of the reimbursement formulae and financial climate of New York State--conspired to promote substantial residency program expansion. Similar forces contributed to a national trend to increase the number of trainees. The history, cost and impact of these personnel changes are reviewed.

PMID:
9757752
[PubMed - indexed for MEDLINE]
PubMed Commons home

PubMed Commons

0 comments
How to join PubMed Commons

    Supplemental Content

    Loading ...
    Write to the Help Desk