I’ve enjoyed reading all the responses to this provocative post since Sean tagged me from the start. I deliberately stayed quiet.
I’ve been “at the table” for all of these discussions at the ABS and at the ACGME/RRC for it seems, like, forever.
I often tell our housestaff that the sky has always been falling, and yet our outcomes are better than ever.
There are things that senior (pre-duty hours) surgeons know and have experienced that midcareer and younger surgeons and trainees do not and will not. But the reality is that many/most of those things are probably obsolete and no longer relevant.
So much has changed over the decades to make surgery (and care in general) safer and more effective. Training paradigms have changed with the times and have become more flexible. They have always been, and still are, imperfect. There is no perfect fix — if you try to solve for one type of problem in the way we train residents, you create other problems. There are lots of strong opinions about what needs to be done, but nobody agrees.
The fact is that the “younger generations” are pretty darn outstanding at what they do, and they are deeply committed to excellence. I am glad they will be there to take care of me and my family.