When we consider the challenges facing academic medicine today, none seems more pressing than negotiating the balance between supervision and autonomy of trainees. As a result of recent duty hour restrictions for residents, many programs have instituted “24/7” attending physician coverage models, thereby increasing the amount of time during which residents have direct faculty supervision. Proponents of increased supervision espouse the primary importance of patient safety, citing the most recent iteration of the Accreditation Council for Graduate Medical Education task force recommendation on duty hours and its call for increased supervision of residents, particularly in the first year of training. Less-often mentioned, however, is that these guidelines also “affirm the responsibility of faculty to make sure that residents are prepared for the independent practice of medicine” and propose that “senior residents or fellows should serve in a supervisory role for junior residents.” It seems to us that 24/7...

You do not currently have access to this content.