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Amy E. Pollack, MD
Seattle

JAMA. 1988;260(1):32-33.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

To the Editor.—

Three cheers for Dr Giardino¹ for his response to the letter by Drs Wendt and Yen² about house staff moonlighting. He has addressed the concerns of many residents, recent graduates, and patients. The current method of residency training is antiquated. As technology has advanced and malpractice liability has demanded increasing documentation in medical settings, the modern-day resident struggles with rapidly increasing responsibilities.

Is the residency training program adhering to its goals? Dr Giardino's arguments might be pushed one step further to define those goals and shed light on the bigger picture. Of all the excuses for perpetuation of the current system, economics is the most well founded. Between 13% and 14% of the US population (30 to 35 million people) lack medical insurance.³ More than a half million women who have no coverage give birth each year. In 1986 in Washington State an estimated . . . [Full Text PDF of this Article]

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