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  Vol. 270 No. 22, December 8, 1993 TABLE OF CONTENTS
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Credentialing in an Era of Change

Warren S. Grundfest, MD

JAMA. 1993;270(22):2725.

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

The article by See et al1 in this issue provides documentation of the value of postresidency training, skilled associates, and the development of a surgical team in the introduction of new techniques for minimally invasive surgery. It also calls attention to the wide variation in granting of privileges, which should set the standards for clinical training required for the performance of these new techniques. Although surgeons have always understood the value of learning from those more skilled in the art, well-researched documentation of the value of this approach with respect to its efficacy in postresidency training has been lacking. The recent introduction of laparoscopic surgery has forced a massive educational effort within general surgery, urology, gynecology, and thoracic surgery. However, the privileging criteria for each of these disciplines have lagged behind the adoption of new surgical techniques and procedures.

See also p 2689.

There is significant variation in the . . . [Full Text PDF of this Article]


Author Affiliations

From the Laser Research and Technology Development Division, Cedars-Sinai Medical Center, Los Angeles, Calif.


Footnotes

Reprint requests to Laser Research and Technology Development Division, Cedars-Sinai Medical Center, 8700 Beverly Blvd, South Tower, Room 1739, Los Angeles, CA 90048-1865 (Dr Grundfest).



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