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Bertrand M. Bell, MD
Albert Einstein College of Medicine Yeshiva University Bronx, NY

JAMA. 1990;264(21):2738-2739.

	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.—

As chairman of the committee that made the recommendations that led to reforms in the working conditions and supervision of residents in New York,¹I can state that the article by Kenneth E. Thorpe,² "House Staff Supervision and Working Hours: Implications of Regulatory Change in New York State," must be read with an important caveat. Thorpe's article, including the methodology and cost estimates, is based on the presumption that graduate medical education will not change. This is not the case.

The "Bell Committee" recognized that while the practice of hospital medicine has radically changed since World War II, the format and concept of residency training has hardly changed. The committee's recommendations were made to help facilitate change in graduate medical education that would improve the quality of care and the quality of medical education.

The committee found that many program directors were unaware and did . . . [Full Text PDF of this Article]

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