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Kenneth E. Thorpe, PhD
Harvard University School of Public Health Boston, Mass

JAMA. 1990;264(21):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.

In Reply.—

The letters by Drs Bell and Cheng raise important issues concerning limits on resident hours and appropriate levels of financing for supervision provided by attending physicians. Particularly refreshing were Dr Bell's comments that continue to focus our attention on the role of the attending physician in the education of young physicians. While I agree with the general thrust of his remarks, his comments concerning the costs of providing continuous supervision and his characterization of my methodology were incorrect.

As my survey revealed, attending physicians pursue multiple activities: funded clinical research, seeing new patients, and supervising residents, among others. The results indicated that little time was spent directly supervising residents. Instead, attending physicians have substituted other activities (such as seeing new patients) for supervision. From a normative standpoint, the existing time allocations of supervising physicians are probably not ideal. Dr Bell has consistently and appropriately focused our attention . . . [Full Text PDF of this Article]

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