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ARTICLE |

It's OK to Get Sick in July FREE

Robert P. Perry, MD
JAMA. 1990;263(7):994-994. doi:10.1001/jama.1990.03440070082038
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"I want a real doctor, not an intern, taking care of me!" said my elderly friend as we discussed the relative merits of having her hip surgery performed at the university hospital rather than at the community hospital—this, despite the fact that she knew that I was the director of the internal medicine residency program at the same teaching hospital. This distrust of medical academia reaches its annual peak in July, when anyone living in the shadow of a teaching hospital knows that he or she will be "done in," physically or financially, by new house staff freshly arrived from medical school graduation if he or she should have the misfortune of getting sick in the summertime. While we like to think of the fear of this "July phenomenon" as a vestige of a previous era in medical education, the possibility that physician inexperience may impose additional burdens on patients

REFERENCES

Buchwald D, Komaroff AL, Cook EF, Epstein AM.  Indirect costs for medical education: is there a July phenomenon? Arch Intern Med. 1989;;149:765-768.
Rich EC, Gifford G, Luxenberg M, Dowd B.  The relationship of house staff experience to the cost and quality of inpatient care . JAMA. 1990;;263:953-957.
Selker HP, Beshansky JR, Pauker SG, Kassirer JP.  The epidemiology of delays in a teaching hospital . Med Care. 1989;;27:112-129.

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Country-Specific Mortality and Growth Failure in Infancy and Yound Children and Association With Material Stature

Use interactive graphics and maps to view and sort country-specific infant and early dhildhood mortality and growth failure data and their association with maternal

Buchwald D, Komaroff AL, Cook EF, Epstein AM.  Indirect costs for medical education: is there a July phenomenon? Arch Intern Med. 1989;;149:765-768.
Rich EC, Gifford G, Luxenberg M, Dowd B.  The relationship of house staff experience to the cost and quality of inpatient care . JAMA. 1990;;263:953-957.
Selker HP, Beshansky JR, Pauker SG, Kassirer JP.  The epidemiology of delays in a teaching hospital . Med Care. 1989;;27:112-129.
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To understand the clinical management of acute heart failure syndromes.
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