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ARTICLE |

Changing Changeover

Jeffrey L. Kaufman, MD
JAMA. 1990;263(7):945. doi:10.1001/jama.1990.03440070031010.
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ABSTRACT

To the Editor.—  Those who practice medicine in teaching hospitals have come to expect the period from late June to mid-July to be tumultuous. It is the time when residents depart for further training or for jobs and when new residents arrive either fresh from medical school or for secondary training in specialty or fellowship programs. With the proliferation of such secondary programs, the transition period has become unpleasant and disorganized. Residents seeking secondary training frequently find the necessity to leave their old programs early, which dumps their clinical work load and on-call responsibility on their remaining harried colleagues. The resident cohort available to assist in the indoctrination of new residents and to smooth the transition of clinical services is thus reduced.July 1 is often the first practical contact new residents have with their new hospital. Some institutions have introduced orientation periods of 1 or 2 weeks to assist

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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.
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