We're unable to sign you in at this time. Please try again in a few minutes.
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
Letters |

Attending Physicians on Ward Rounds—Reply

Robert M. Wachter, MD; Abraham C. Verghese, MD
JAMA. 2013;309(4):341. doi:10.1001/jama.2012.65894.
Text Size: A A A
Published online


In Reply: It is interesting—and reassuring—that trainees appear to value hearing their attending physician's thought processes more than a recitation of evidence-based literature. The ubiquitous availability of online resources has had the effect of turning clinical evidence into a commodity, which is a good thing. Wisdom and experience are harder to commoditize, and attending physicians are uniquely positioned to offer them to their trainees.

Like Dr Centor and colleagues, we believe that effective faculty development programs can allow junior attending physicians to traverse their learning curves more rapidly. Junior faculty may be less comfortable “thinking out loud” and more inclined to equate teaching with discussing the results of the latest literature. Providing such faculty with the tools to teach more effectively, and to appreciate the value of sharing their clinical wisdom, should be a high priority. On the other hand, Centor and colleagues' findings should not be taken as license by senior faculty to not keep up with the literature. The attending physician's thought process must be based on a foundation of an up-to-date understanding of the literature.


Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?

First Page Preview

View Large
First page PDF preview




January 23, 2013
Robert M. Centor, MD; Analia Castiglioni, MD; Brita Roy, MD, MPH
JAMA. 2013;309(4):341. doi:10.1001/jama.2012.65887.
Also Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
Please click the checkbox indicating that you have read the full article in order to submit your answers.
Your answers have been saved for later.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.


Some tools below are only available to our subscribers or users with an online account.

0 Citations

Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?

Related Content

Customize your page view by dragging & repositioning the boxes below.