Do inadequate supervision and excessive work schedules of resident physicians seriously threaten the quality of patient care in teaching hospitals? A New York State commission has implicitly answered yes to this question by recommending new regulations that would substantially alter traditional arrangements. I reach different conclusions from my experience as chief of medicine in a municipal hospital and a university teaching hospital during the past 20 years.Supervision of ResidentsIn theory, the guiding principle behind supervision on teaching services is graded responsibility. Residents may deliver a particular kind of medical care without direct supervision only when they have achieved . . .
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Norman G. Levinsky (1988) studied this question.