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[(ho)19.1(us)16.3(e)-347.7(2)0(4)-144.4(h)0(/)18.9(d)0(a)16.5(y)0(,)-336.1(7)-353.6(da)22.8(ys)19.6(/w)20.7(ee)19.2(k.)-342.4(In)-340.6(ho)19.1(sp)16.3(i)15.4(t)0(a)19(l)0(s)-340(t)0(h)15.1(a)13.1(t)-354.6(d)0(o)19.5(c)13.4(um)13.7(e)12.8(n)0(t)15.1(e)12.7(d)]TJ
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0 -1.2203 TD
[(an)16.1(d)-186.4(i)15.4(n)-186.7(p)0(e)17.7(r)0(s)17(o)0(n)-176.9(w)0(h)20.3(e)0(n)-180.3(n)0(e)22(e)0(d)16.1(e)12.8(d,)-176.6(a)-189.2(r)0(e)18.4(s)0(i)20.4(d)0(e)22.4(n)0(t)-180.9(i)0(n)-177.6(h)0(i)18.4(s)-184.7(or)-174.2(he)15.7(r)-184.1()0(n)18.9(a)0(l)-173.8(y)0(e)14.7(a)13.1(r)-190.4(o)0(f)]TJ
T*
[(tr)17.8(a)13.1(i)0(n)18.4(i)0(n)18.4(g)-276.3(or)-269(wh)14(o)-274.7(h)0(a)16.1(d)-274.9(co)16.9(mp)20(le)21.9(te)18.6(d)-281.2(a)13.1(t)-278.7(l)0(e)15.5(a)13.1(st)-273.7(t)12.2(h)0(r)14.9(e)12.8(e)-278.1(y)0(e)21(a)0(r)18.8(s)-279.5(of)-268.8(tr)17.8(a)13.1(i)0(n)18.4(i)0(n)18.4(g)]TJ
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0 -1.2203 TD
[(pr)16.9(og)18.1(ra)25.1(ms)-277.1(in)18.4(it)21.3(ia)15.9(ll)18.2(y)-282.6(w)0(e)17.4(r)0(e)-272.5(n)0(o)19.1(t)-285(in)18.4(cl)16.2(ud)20.9(e)12.7(d)-287.5(in)-272.5(th)15.1(e)-284.4(d)0(u)20.9(t)0(y)-276.8(h)0(o)19.1(u)0(r)-273.9(r)0(e)18.4(g)0(u)19.5(l)0(a)15.9(-)]TJ
T*
[(ti)21.3(on)12.8(s,)-352(su)22.6(pe)17.7(rv)17.5(is)20.4(io)19(n)-363.8(g)0(u)19.5(i)0(d)18.8(e)12.8(li)18.2(ne)15.7(s)-361.7(f)12.2(or)-357.6(su)22.6(rg)20.2(er)18.4(y)-364.8(i)0(n)18.4(c)0(l)22.5(u)0(d)14.6(e)12.8(d)-363.4(h)0(a)16.1(v)0(i)21(n)0(g)-355.6(a)13.1(n)]TJ
0 -1.2266 TD
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0 -1.2203 TD
[(re)18.4(qu)19.5(ir)21.1(in)18.4(g)-352.2(g)0(e)14.7(n)0(e)22(r)0(a)18.8(l)-351.3(an)16.1(e)12.7(s)0(t)17.2(h)0(e)15.7(s)0(i)20.4(a)13.1(,)-357(p)0(r)16.9(e)12.8(-o)15.7(pe)24(ra)18.8(ti)15(ve)-342.1(as)18.1(se)17.8(ss)22.7(me)15.2(nt)-345.3(b)14.6(y)-358.5(a)13.1(n)]TJ
T*
[(at)19(te)18.6(nd)18.9(in)18.4(g)-478.6(p)0(h)14.2(y)0(s)19.6(i)0(c)22.5(i)0(a)15.9(n)0(,)-467.9(a)0(n)16.1(d)-483.5(po)21.2(st)17.2(-)12.2(o)0(p)14.8(e)12.8(ra)18.8(ti)15(ve)-468.5(as)18.1(se)17.8(ss)22.7(me)15.2(nt)-471.7(no)-474.1(le)21.9(ss)]TJ
T*
[(fr)17.8(e)12.8(q)0(u)13.2(e)12.8(nt)15.1(l)15.4(y)-301.6(t)12.2(h)0(a)16.1(n)-300.6(da)22.8(il)18.2(y)-295.3(b)0(y)-293.4(t)12.2(he)-287.8(at)19(te)18.6(nd)18.9(in)18.4(g)-301.6(p)0(h)20.5(y)0(s)19.6(i)0(c)22.5(i)0(a)15.9(n)-300.6([)12.2(6)0(])19(.)-300.1(Th)18.9(us)-287.2(fo)15.7(r)]TJ
0 -1.2266 TD
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0 -1.2203 TD
[(pe)17.7(rv)17.5(is)20.4(io)19(n)-268.9(b)0(e)21(c)0(a)20.2(m)0(e)-263(a)-271.4(ma)21.9(tt)18(er)-259.8(of)-262.5(la)22.2(w.)]TJ
1.1128 -1.2203 TD
[(These)-386.9(regulations)-387.6(were)-381.5(enacted)-384.8(in)-386.3(1989)-383.7(in)-380(New)-387.2(York.)-381.8(In)]TJ
-1.1128 -1.2267 TD
[(2003,)-386.7(the)-383.1(Accreditation)-390.3(Council)-387.1(for)-389.6(Graduate)-388.9(Medical)-386.9(Edu-)]TJ
27.9978 74.5598 TD
[(cation)-306.1(\(ACGME\))-306.6(declared)-306(duty)-300.1(hour)-305.4(rules)-304(similar)-300.5(to)-300.4(Libbys)]TJ
0 -1.2203 TD
[(Law.)-323.2(Thus,)-315.5(Sidney)-322.5(Zion)-323.7(had)-315.7(served)-321.7(as)-317(a)-322(Connector,)-319.3(the)-319.9(Bell)]TJ
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[(Commission)-437.6(as)-430.8(Mavens,)-430.2(and)-435.9(the)-427.4(ACGME)-432.1(as)-430.8(Salesmen)-433.5(for)]TJ
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[(duty)-287.5(hour)-280.1(regulation.)]TJ
/F8 1 Tf
0 -3.054 TD
[(The)-338.2(Stickiness)-332(Factor)]TJ
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1.1128 -1.8336 TD
[(Gladwell)-241(next)-233.5(refers)-236.9(to)-237.2(the)-237.7()55(Stickiness)-245.1(Factor:)57.6()-235.8(The)-240.2(specic)]TJ
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[(content)-414.3(of)-407.9(the)-408.4(message)-408.6(that)-408.5(renders)-413.6(its)-410(impact)-406.4(memorable.)]TJ
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[(Clearly,)-311.9(the)-300.9(death)-309.8(of)-306.7(a)-303(young)-307.2(woman)-308.4(because)-302.9(of)-306.7()55(fatigued,)50.2()]TJ
T*
[()48.7(over-worked,)52.2()-305.4(and)-309.4()55(unsupervised)47.9()-311.7(residents)-310.7(was)-305.9(a)-309.3(power-)]TJ
T*
[(ful)-302.5(message)-301.1(that)-294.7(rang)-298.9(true)-299.6(with)-299.9(both)-301.9(the)-300.9(public)-298(and)-296.7(political)]TJ
0 -1.2266 TD
[(factions.)-285.5(Thus,)-283.9(the)-282()55(epidemic)51.4()-280.1(related)-285.2(to)-281.4(resident)-284.1(duty)-281.1(hours)]TJ
0 -1.2203 TD
[(and)-347.3(performance)-340.7(shifted)-347.2(to)-338.4(the)-345.2(Institute)-348.1(of)-338.4(Medicine)-346.4(\(IOM\),)]TJ
T*
[(which)-365.3(formed)-364.8(a)-359.9(workgroup)-361.6(assigned)-364.1(to)-357.3()55(Optimizing)-363.7(Grad-)]TJ
0 -1.2266 TD
[(uate)-330(Medical)-323.7(Trainee)-326.1(\(Resident\))-332.8(Hours)-322.3(and)-328.4(Work)-323.1(Schedules)]TJ
0 -1.2203 TD
[(to)-370(Improve)-365.6(Patient)-362.7(Safety.)48.9()-362.3(They)-364.8(were)-362.5(tasked)-369(to)-363.6(synthesize)]TJ
T*
[(the)-711.9(evidence)-711.5(regarding)-702.4(medical)-708.2(resident)-714.1(schedules)-708.5(and)]TJ
0 -1.2266 TD
[(healthcare)-262.5(safety)-252.7(and)-258.8(also)-253.7(with)-255.6(the)-250.3(development)-259.1(of)-256.2(strategies)]TJ
0 -1.2203 TD
[(to)-281.4(optimize)-286.8(safety)-284.3(in)-278.8(the)-282(healthcare)-281.5(work)-281.4(environment.)]TJ
1.1128 -1.2203 TD
[(Th)18.9(e)-259.1(I)0(O)20.1(M)-251.7(re)18.4(le)21.9(as)18.1(ed)-249.5(i)15.4(t)0(s)-248.4(r)0(e)18.4(p)0(o)21.2(r)0(t)-247.8(o)0(n)-246.4(D)0(e)17.7(c)13.4(em)15.2(b)14.6(e)0(r)-247.2(1)0(5)19.9(,)-255.8(2)13.1(0)0(0)19.9(8)-258.7([)12.2(7)13.1(].)-250(F)14.6(i)0(r)14.7(s)0(t)23.5(,)]TJ
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0 -1.2266 TD
[(we)17.4(ek)21(s)-285.8(s)0(h)14.3(o)0(u)21.2(l)0(d)-272.1(c)0(o)16.9(n)0(t)21.4(i)0(n)18.4(u)0(e)-273.1(t)0(o)-275.1(b)0(e)-276.2(e)0(n)15.7(f)12.2(or)15.5(c)13.4(e)0(d)-274.8(a)0(n)16.1(d)-281.2(t)12.2(h)0(a)16.1(t)-285(t)12.2(h)0(e)-275.2(m)0(a)15.6(x)0(i)19.6(m)15.1(um)]TJ
0 -1.2203 TD
[(ca)13.9(l)15.4(l)-477.8(in)18.4(-)12.2(h)0(o)19.1(u)0(s)16.3(e)-474.1(sh)20.6(ou)21.2(ld)-461.8(no)19.1(t)-474.7(e)0(x)16.9(c)13.4(ee)12.9(d)-470.9(e)12.8(ve)18.3(ry)-466.7(t)12.2(h)0(i)18.4(r)0(d)-465.3(n)0(i)18.4(g)14.5(ht)15.1(,)-470.8(w)0(i)20.1(t)0(h)15.1(o)0(u)21.2(t)]TJ
T*
[(av)18.7(er)18.4(ag)21.4(in)18.4(g.)-209.7(T)16(h)0(e)15.7(y)-213.1(re)18.4(co)16.9(mm)23.8(en)15.7(de)22.4(d)-218(a)-214.5(1)13.1(6)0(-)19(h)-218.4(sh)20.6(if)21.3(t,)-205.7(or)-205.8(a)-214.5(3)0(0)19.9(-)0(h)-206.2(s)0(h)14.3(i)15.4(ft)-209.6(wi)20.1(t)12.2(h)]TJ
0 -1.2266 TD
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/F5 1 Tf
17.388 0 TD
-.0131 Tc
(pm)Tj
/F6 1 Tf
1.7831 0 TD
0 Tc
[(an)16.1(d)-515.2(8)]TJ
/F5 1 Tf
3.1931 0 TD
-.0133 Tc
(am)Tj
/F6 1 Tf
1.3721 0 TD
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[(.T)515.1(h)534(e)515.1(y)]TJ
-23.7362 -1.2203 TD
0 Tc
[(al)15.9(so)-282.3(re)18.4(co)16.9(m)15.1(m)0(e)15.2(n)0(d)18.9(e)12.8(d)-293.9(1)0(0)-144.4(h)-294.2(of)15.7(f)-291.3(a)0(f)19(t)0(e)18.6(r)-291.5(a)-296.7(d)0(a)22.8(y)-295.3(sh)20.6(if)21.3(t,)-287.9(1)13.1(2)-157.6(h)-294.2(a)13.1(ft)18(er)-285.1(a)-290.4(n)0(i)18.4(g)0(h)17.5(t)]TJ
T*
[(sh)14.3(if)21.3(t,)-446(a)13.1(n)0(d)-449(1)13.1(4)-157.6(h)-452.3(af)19(te)18.6(r)-455.9(a)13.1(n)-458.6(e)12.8(xt)16.3(e)12.8(n)0(d)18.9(e)0(d)-445.5(3)0(0)19.9(-)0(h)-446.5(s)0(h)20.6(i)0(f)15(t)12.2(.)-451.8(T)0(h)18.9(e)-455.2(co)16.9(mm)23.8(it)15(t)12.2(e)0(e)]TJ
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0 -1.2203 TD
[(ea)13.2(c)13.4(h)-205.7(we)17.4(e)12.7(k)-206.7(\(n)15.1(o)-205.1(a)13.1(ve)18.3(ra)18.8(gi)17.3(ng)23.8(\),)-199.4(a)13.1(n)0(d)-196.1(o)0(n)19.1(e)-208.6(4)13.1(8)0(-)19(h)-205.7(pe)17.7(ri)21.1(od)-195.5(of)15.7(f)-209.1(e)12.8(ac)20.2(h)-205.7(m)0(o)18.6(n)0(t)21.4(h)0(.)]TJ
T*
[(Th)18.9(ey)-314.1(e)12.7(m)0(p)13.7(h)0(a)22.4(s)0(i)20.4(z)0(e)19.6(d)-319.1(th)15.1(a)13.1(t)-322.9(t)12.2(h)0(e)-313.1(f)0(a)19(c)0(t)19.2(o)0(r)15.5(s)-317.5(th)15.1(a)13.1(t)-322.9(in)18.4(c)13.4(r)0(e)18.4(a)0(s)18.1(e)0(d)-312.7(f)12.2(at)19(ig)17.3(ue)-311.1(we)17.4(re)]TJ
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(>)Tj
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[(1)13.1(6)-157.6(h\))15.1(,)-268.5(r)0(e)18.4(d)0(u)20.9(c)0(e)19.8(d)-268.6(or)-262.7(di)18.8(st)17.2(ur)23.2(be)14.7(d)-268.6(p)0(e)17.7(r)0(i)21.1(o)0(d)19.5(s)]TJ
-11.5203 -1.2203 TD
[(of)-199.3(sl)14.1(e)12.8(e)0(p)17.7(,)-205.2(sh)20.6(if)15(t)-209.1(v)0(a)18.7(r)0(i)21.1(a)13.1(bi)17.3(li)18.2(t)12.2(y)0(,)-197(a)0(n)16.1(d)-205.3(vo)21.8(lu)20.4(me)-199.8(an)16.1(d)-205.3(i)0(n)18.4(t)12.2(en)15.7(si)20.5(t)12.2(y)-213.1(of)-192.9(wo)14.6(rk)-194.8([7)19(])12.2(.)]TJ
1.1128 -1.2203 TD
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[(while)-220.6(he)-218.3(or)-218.5(she)-213.3(is)-219.8(in)-215.6(the)-218.7(hospital.)-221.1(Schwartz)-218(et)-215.4(al.)-214.6(examined)-217.6(the)]TJ
0 -1.2266 TD
[(conceptual)-308(frameworks)-306.2(of)-300.4(published)-306.3(research)-308.2(papers)-301.3(on)-303.3(this)]TJ
0 -1.2203 TD
[(subject)-327.8(and)-322(considered)-320.3(by)-325(the)-319.9(IOM)-320.1(report)-322(and)-322(in)-323.1(the)-319.9(period)]TJ
T*
[(following)-335.9(their)-330.5(report)-328.4(up)-325.2(until)-334.7(2010)-320.5([8].)-332.2(The)-328.8(authors)-332(consid-)]TJ
0 -1.2266 TD
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0 -1.2203 TD
[(cational)-783.4(value,)-779.4(patient)-780(care)-777.1(of)-781(low)-779.3(educational)-781.3(value,)]TJ
T*
[(educational)-218.6(non-patient)-221(care,)-211(rest)-211(on)-214.8(call,)-211.1(protected)-216.5(sleep,)-217.6(and)]TJ
0 -1.2266 TD
[(administrative)-364.9(activities.)-363(Those)-364.5(authors)-363.6(found)-365.1(that)-357.9(many)-359(of)]TJ
0 -1.2203 TD
[(the)-307.3(tested)-308.5(conceptual)-308(frameworks)-306.2(studying)-306.4(the)-300.9(effects)-311.6(of)-300.4(the)]TJ
T*
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[(and)-404.2(look)-405.5(at)-404.6(our)-403.2(applicants.)-408.2(Prior)-407.4(to)-401.6(1990,)-405.6(there)-402.7(were)-406.8(more)]TJ
0 -1.2203 TD
[(applicants)-405.3(to)-401.6(general)-409.7(surgery)-404.8(training)-404.6(programs)-400.4(than)-405.1(there)]TJ
T*
[(were)-248.7(eligible)-250.4(positions.)-251(However,)-255.1(in)-247.2(the)-250.3(1990s,)-248.9(the)-250.3(number)-253.9(of)]TJ
0 -1.2266 TD
[(applicants)-285.1(began)-289.8(to)-281.4(decrease,)-291(and)-284.1(the)-282(number)-291.9(of)-281.4(U.S.)-283.9(gradu-)]TJ
0 -1.2203 TD
[(ates)-273.1(of)-275.1(general)-276.9(surgical)-279.2(programs)-273.9(declined)-274.8(from)-279.7(1,381)-272.8(to)-275.1(931:)]TJ
T*
[(For)-330.4(the)-332.6(rst)-334.3(time,)-333.2(a)-328.3(number)-336.1(smaller)-328.5(than)-335.6(the)-332.5(number)-336.1(of)-332(po-)]TJ
T*
[(sitions)-269.2(offered,)-269.4(by)-268.1(about)-267.8(100.)-267(However,)-267.8(since)-273(2002,)-266.5(this)-267.9(trend)]TJ
0 -1.2266 TD
[(has)-592.2(not)-601(worsened.)-597.2(Figure)-596(1)-593.9(shows)-598.4(the)-591.8(relatively)-597.9(steady)]TJ
0 -1.2203 TD
[(number)-253.9(of)-256.2(positions)-254.4(lled)-253.2(in)-253.5(general)-257.9(surgery)-253.1(since)-260.3(2006,)-247.6(with)]TJ
T*
[(1,075)-279.2(positions)-292.3(offered)-285.4(and)-284.1(lled)-284.9(in)-278.8(2010.)-285.5(The)-284.5(increase)-285.7(in)-285.1(po-)]TJ
0 -1.2266 TD
[(sitions)-541.1(is)-536(notable)-545.1(both)-542.2(in)-538(emergency)-540.6(medicine,)-537.8(now)-545.2(out-)]TJ
0 -1.2203 TD
[(numbering)-720.5(positions)-722.3(in)-721.4(surgery)-721(by)-717(about)-716.7(500,)-715.9(and)-720.4(in)]TJ
T*
[(anesthesiology,)-337.1(which)-327.4(still)-334.9(is)-333.6(fewer)-331.4(than)-329.2(surgery)-335.3(but)-328.7(having)]TJ
0 -1.2266 TD
[(increased)-282.4(substantially)-286(over)-282.3(the)-282(last)-283(four)-277.2(years.)]TJ
1.1128 -1.2203 TD
[(Do)-307.7(we)-305(understand)-313.2(why)-312.9(these)-308.5(changes)-314.7(have)-307(occurred?)-316.1(Do)]TJ
-1.1128 -1.2203 TD
[(we)-507.4(still)-505.6(have)-509.4(a)-511.7(problem)-509.8(attracting)-511.3(students?)-510(Are)-507.8(surgical)]TJ
0 -1.2266 TD
[(training)-284.5(programs)-286.6(getting)-288.5(the)-288.3(best)-284.3(students?)-288.7(How)-288.9(do)-284(we)-286.1(de-)]TJ
0 -1.2203 TD
[(ne)-417.3(the)-427.4(best)-423.4(students?)-421.5(If)-419.9(we)-425.2(consider)-424.9(the)-421.1(U.S.)-423(Medical)-418.5(Li-)]TJ
T*
[(censing)-185.9(Examination)-195.9(\(USMLE\))-189(scores)-188.6(in)-190.3(Step)-189.9(I,)-188.4(the)-187.1(mean)-190.1(score)]TJ
T*
[(for)-288.5(U.S.)-290.2(seniors)-297.4(who)-292.3(matched)-294(in)-291.5(their)-292.5(specialty)-291.5(was)-287(225,)-292.3(and)]TJ
0 -1.2266 TD
[(the)-294.6(general)-302.2(surgery)-297.3(applicants)-299.7(mean)-297.5(score)-294.8(was)-299.6(224)-295.7([15].)-293.7(For)]TJ
0 -1.2203 TD
[(USMLE)-358.8(Step)-366.9(II,)-361.2(general)-359.1(surgery)-366.9(applicants)-361(were)-362.5(also)-361.2(at)-366.7(the)]TJ
T*
[(national)-389.2(mean)-386.1(of)-388.9(U.S.)-385.1(seniors)-392.3(applying)-388.2(successfully.)-393(Appli-)]TJ
0 -1.2266 TD
[(cants)-320.1(to)-325.7(both)-320.9(anesthesiology)-327.8(and)-322(emergency)-325.6(medicine)-319.9(train-)]TJ
0 -1.2203 TD
[(ing)-251.6(programs)-248.6(were)-248.7(similar)-256.3(to)-249.8(general)-251.6(surgery)-253.1(applicants)-253.5([15].)]TJ
T*
[(General)-404(surgery)-404.8(training)-404.6(programs)-406.7(attracted)-408(30.9%)-401.4(of)-401.6(their)]TJ
0 -1.2266 TD
[(applicants)-335.7(from)-330.3(one)-334.9(of)-332(the)-332.5(top)-339.7(40)-327.8(U.S.)-334.5(medical)-335.1(schools)-330.5(with)]TJ
0 -1.2203 TD
[(the)-465.3(highest)-465.3(National)-468(Institutes)-469.6(of)-471.1(Health)-462(funding,)-471.4(2.9%)-465.1(of)]TJ
T*
[(applicants)-323.1(had)-315.7(a)-315.7(Ph.D.,)-324.7(and)-315.7(9.9%)-319.7(had)-315.7(another)-320(advanced)-324.5(de-)]TJ
T*
[(gree.)-311.3(Again,)-318.7(these)-314.8(numbers)-318.5(are)-316.3(similar)-313.2(to)-319.4(those)-317.7(of)-313.1(the)-313.6(appli-)]TJ
0 -1.2266 TD
[(cants)-370.7(in)-367.3(anesthesiology)-378.4(and)-366.3(emergency)-369.9(medicine.)-373.4(The)-366.7(most)]TJ
0 -1.2203 TD
[(competitive)-325.7(specialties)-329.8(are)-322.6(plastic)-331.5(surgery,)-325.5(with)-325.2(mean)-322.8(Step)-329(I)]TJ
T*
[(and)-214.6(II)-219.2(scores)-226.6(of)-218.2(245;)-216.4(dermatology)-221.4(at)-221.3(242)-213.5(and)-220.9(251,)-216.4(respectively;)]TJ
0 -1.2267 TD
[(otolaryngology)-394(at)-392(240)-390.6(and)-391.6(246;)-393.5(diagnostic)-394.3(radiology)-391.4(at)-392(238)]TJ
0 -1.2203 TD
[(and)-296.8(242;)-305(orthopedic)-301.7(surgery)-303.7(at)-303.5(238)-295.7(and)-303.1(241;)-298.6(radiation)-307.3(oncol-)]TJ
T*
[(ogy)-277.2(at)-278.2(238)-276.7(and)-277.8(241;)-279.7(and)-277.8(neurological)-283.9(surgery)-278.4(at)-278.2(239)-276.7(and)-284.1(237.)]TJ
0 -1.2266 TD
[(Applicants)-362.9(in)-361(the)-357.8(other)-367.6(major)-359.6(specialties,)-364.3(internal)-362.2(medicine,)]TJ
0 -1.2203 TD
[(pediatrics,)-470.8(and)-473.8(obstetrics)-469.4(and)-473.8(gynecology,)-468.5(were)-476.3(similar)-471.3(to)]TJ
T*
[(those)-456.8(in)-449.5(general)-454(surgery)-455.4([15].)-458.1(Thus,)-454.6(whereas)-455.3(selected)-456.2(pro-)]TJ
0 -1.2266 TD
[(grams)-458.8(may)-463.1(attract)-462(applicants)-462.2(similar)-458.6(to)-464.8(those)-463.1(in)-462.2(the)-459(most)]TJ
0 -1.2203 TD
[(competitive)-224.5(specialties,)-225.2(the)-225.1(average)-226(general)-220(surgery)-227.8(applicant)]TJ
T*
[(from)-412.5(a)-416.8(U.S.)-416.7(medical)-411(school)-417.7(is,)-418.8(by)-413.5(the)-414.7(criterion)-418.9(used)-416.6(across)]TJ
T*
[(specialties)-304.5(to)-300.4(screen)-301.7(and)-303.1(select)-301.6(applicants,)-307(similar)-300.5(to)-300.4(those)-305(in)]TJ
0 -1.2266 TD
[(most)-337.2(of)-344.7(the)-338.9(other)-342.3(large)-343.2(specialties.)-345.4(In)-340.6(particular,)-341.7(the)-345.2(general)]TJ
0 -1.2203 TD
[(surgery)-316.3(applicants)-323.1(are)-316.3(similar)-319.5(to)-319.4(those)-317.7(in)-316.7(the)-319.9(specialties)-317.1(that)]TJ
T*
[(may)-273.4(be)-276.2(considered)-282.4(to)-281.4(have)-275.4(a)-277.7(more)-279.1(attractive)-276.5(lifestyle)-282.6(such)-277.2(as)]TJ
0 -1.2267 TD
[(anesthesiology)-283.5(and)-284.1(emergency)-281.3(medicine.)]TJ
/F8 1 Tf
-28.0042 77.228 TD
[(TIPPING)-336.9(POINT)-335.4(IN)-335.1(SURGICAL)-337.5(TRAINING)]TJ
54.1178 0 TD
(3)Tj
ET
endstream
endobj
65 0 obj
<>stream
/GS1 gs
BT
/F6 1 Tf
8.9663 0 0 8.9663 72 550.4313 Tm
0 0 0 1 k
0 Tc
0 Tw
[(Aside)-281(from)-286(perceptions)-285.9(of)-281.5(lifestyle,)-285.5(students)-283.1(and)-284.1(residents)]TJ
-1.1128 -1.2203 TD
[(may)-178.5(consider)-190.9(other)-184.3(factors)-181.6(in)-184(selecting)-186.5(a)-182.9(career)-183.4(such)-182.4(as)-177.9(the)-187.1(cost)]TJ
0 -1.2266 TD
[(of)-370(higher)-369.4(education)-367.3(and)-366.3(the)-370.5(ability)-367.2(to)-363.6(repay)-372.6(loans,)-367.5(the)-364.2(geo-)]TJ
0 -1.2203 TD
[(graphic)-309.4(location)-306.1(of)-306.7(their)-305.2(specialty,)-307.1(perception)-309.8(of)-306.7(career)-303.5(satis-)]TJ
T*
[(faction,)-587.7(and)-587.6(the)-585.5(changing)-584.1(political)-586.6(and)-587.6(social)-585.3(climate)-585.5(of)]TJ
T*
[(medicine,)-348.1(to)-351(name)-348.1(a)-347.3(few.)-352.7(Further,)-349(the)-351.5(demographics)-351.9(of)-351(stu-)]TJ
0 -1.2266 TD
[(dents)-564.5(entering)-572.1(medical)-562.7(school)-563.2(has)-567(changed)-569.3(substantially,)]TJ
0 -1.2203 TD
[(with)-331.5(women)-327.7(now)-330.3(accounting)-333.5(for)-332.7(almost)-327.6(one-half)-329.6(of)-332(the)-332.5(stu-)]TJ
T*
[(dent)-285(body.)-276.8(Park)-284.2(et)-284.9(al.)-277.8(identied)-285.3(both)-282.9(real)-281.8(and)-284.1(perceived)-280.2(bar-)]TJ
0 -1.2266 TD
[(riers)-341.3(to)-344.7(female)-342.3(students)-340(applying)-344(to)-338.4(general)-346.5(surgery)-341.6([16].)-338(In)]TJ
0 -1.2203 TD
[(this)-299.6(Canadian)-302.9(study)-301.4(in)-297.8(2004,)-298.1(the)-300.9(perceived)-305.5(barriers)-301.6(included)]TJ
T*
[(gender-based)-197(discrimination)-202.6(and)-195.6(a)-195.5(lack)-196.4(of)-192.9(female)-196.9(role)-196.6(models.)]TJ
0 -1.2266 TD
[(Students)-653.3(believed)-653.5(that)-655.1(general)-650(surgery)-651.4(was)-653.7(inconsistent)]TJ
0 -1.2203 TD
[(with)-331.5(a)-322(rewarding)-326.6(family)-331.5(life,)-326.5(a)-322(happy)-332.5(marriage,)-324.9(and)-328.4(having)]TJ
T*
[(children.)-285.2(Yet)-289.1(female)-285.4(surgeons)-287(surveyed)-289.5(at)-284.5(the)-288.3(same)-282.8(time)-286(did)]TJ
T*
[(not)-284.8(share)-283(these)-283.2(concerns)-281.9([16].)]TJ
1.1128 -1.2266 TD
[(One)-448.9(might)-452(ponder)-453.7(whether)-452(student)-452.5(interest)-452.3(in)-449.5(selecting)]TJ
-1.1128 -1.2203 TD
[(non-surgical)-207(careers)-210(is)-200.9(inuenced)-206.4(by)-204.8(many)-207.2(of)-199.3(the)-206.1(same)-206.9(factors)]TJ
T*
[(observed)-366.8(in)-367.3(studies)-365(of)-363.6(students)-371.6(concerning)-367.8(surgical)-367.7(careers.)]TJ
0 -1.2266 TD
[(DeZee)-454.2(et)-455.6(al.)-454.9(surveyed)-453.9(all)-455.5(fourth-year)-456.8(students)-460.1(who)-456.7(had)-454.8(a)]TJ
0 -1.2203 TD
[(Department)-466.2(of)-464.8(Defense)-467.8(commitment)-470.4(with)-464.3(questions)-467.4(about)]TJ
T*
[(primary)-475.7(care)-479.9(careers)-475.5(and)-473.8(whether)-477.3(nancial)-476.7(considerations)]TJ
0 -1.2266 TD
[(inuenced)-345.5(their)-343.1(career)-341.4(plans)-337.9([17].)-344.3(Two-thirds)-342.7(of)-338.4(the)-338.9(respon-)]TJ
0 -1.2203 TD
[(dents)-336.9(did)-332(not)-335.4(apply)-339(for)-332.7(primary)-336.6(care,)-337.4(yet)-333.6(30%)-335.8(of)-332(this)-337.5(group)]TJ
T*
[(stated)-181.7(they)-185.2(would)-183(have)-180.6(if)-181(they)-185.2(had)-176.6(been)-184.6(given)-182.7(a)-182.9(median)-177.6(bonus)]TJ
0 -1.2266 TD
[(of)-224.5($27,5000)-227.1(\(interquartile)-230.5(range)-229.2([IQR])-225.3($15,000$50,000\))-221.3(before)]TJ
0 -1.2203 TD
[(and)-303.1(after)-298.2(residency.)-302.9(Further,)-304.7(41%)-297.8(of)-300.4(the)-300.9(students)-302.1(stated)-308.2(they)]TJ
T*
[(would)-334.8(have)-338.7(applied)-334.7(for)-332.7(a)-334.6(military)-335.7(primary)-336.6(care)-334.5(residency)-337.9(if)]TJ
T*
[(they)-267.4(had)-258.8(a)-265.1(median)-259.8(military)-266.2(salary)-261.9(after)-266.6(residency)-262(of)-268.8($175,000)]TJ
0 -1.2266 TD
[(\(IQR)-313.4($150,000$200,000\).)-318.1(Interestingly,)-315(students)-321(who)-317.6(choose)]TJ
0 -1.2203 TD
[(a)-208.2(non-primary-care)-213.7(specialty)-209.3(with)-211.4(a)-208.2(controllable)-213.5(lifestyle)-213.1(\(e.g.,)]TJ
T*
[(radiology\))-391.9(were)-387.8(more)-393(likely)-386.1(to)-388.9(be)-390(inuenced)-396.1(by)-388.2(this)-388.1(hypo-)]TJ
0 -1.2267 TD
[(thetical)-465.3(salary)-464.2(increase)-469.1(than)-462(students)-472.8(who)-463(selected)-462.5(a)-467.4(non-)]TJ
0 -1.2203 TD
[(controllable)-283.1(lifestyle)-282.6(such)-283.5(as)-279(surgery)-284.7([17].)-281.1(Thus,)-283.9(it)-275.9(seems)-284.5(that)]TJ
T*
[(for)-421.3(some)-418.9(students,)-425.1(at)-417.3(least)-422(those)-418.8(in)-417.9(whom)-422.7(a)-416.8(military)-417.9(com-)]TJ
0 -1.2266 TD
[(mitment)-413.9(was)-413.4(present,)-420.9(nancial)-413.5(considerations)-416.9(were)-413.1(impor-)]TJ
0 -1.2203 TD
[(tant)-370.6(in)-361(selecting)-369.8(a)-366.2(career.)-369.6(However,)-368.9(the)-364.2(minority)-370.5(who)-368.2(were)]TJ
T*
[(interested)-373(in)-361(surgery)-366.9(could)-364(not)-367(be)-364.7(inuenced)-370.8(by)-362.9(a)-366.2(nancial)]TJ
T*
[(reward)-283.6(to)-287.8(change)-288.1(to)-287.8(primary)-286(care!)-285.8(Perhaps)-285.7(we)-286.1(are)-284.6(a)-284(rare)-285.3(but)]TJ
0 -1.2266 TD
[()55(stable)50.3()-280.1(breed?)]TJ
1.1128 -1.2203 TD
[(But)-358.9(are)-366.8(money)-362.1(and)-360(lifestyle)-364.8(what)-359.1(is)-365.3(important)-363.8(to)-363.6(current)]TJ
-1.1128 -1.2203 TD
[(students?)-326.6(Recruiting)-324.3(students)-321(into)-326.3(surgery)-322.6(who)-317.6(are)-322.6(not)-322.8(well)]TJ
0 -1.2266 TD
[(suited)-287.8(to)-287.8(the)-288.3(specialty)-291.5(can)-286.7(be)-288.8(associated)-288.8(with)-287.2(a)-284(high)-286.6(attrition)]TJ
0 -1.2203 TD
[(rate,)-477.7(either)-482.1(because)-479.9(programs)-476.2(make)-475.6(unfavorable)-484.2(decisions)]TJ
T*
[(about)-324.7(residents)-329.7(or)-325.9(residents)-329.7(determine)-330.8(that)-326.3(a)-328.3(surgical)-323.5(career)]TJ
0 -1.2267 TD
[(does)-399(not)-392.3(match)-398.6(their)-393.7(life)-399.5(plans.)-397.7(Naylor)-396.6(et)-392.4(al.)-398(examined)-394.7(the)]TJ
27.9978 74.5598 TD
[(results)-242.5(of)-237.2(their)-241.9(115)-238.8(categorical)-234.2(residents)-247.5(who)-235.4(matched)-237.1(in)-240.9(their)]TJ
0 -1.2203 TD
[(general)-403.4(surgery)-404.8(training)-404.6(program)-399(and)-397.9(identied)-405.4(success)-402.1(as)]TJ
0 -1.2266 TD
[(those)-311.3(residents)-317(who)-305(completed)-317.6(training)-309.8(and)-309.4(passed)-309.9(the)-307.3(ABS)]TJ
0 -1.2203 TD
[(examinations)-409.1(on)-398.2(the)-402.1(rst)-403.8(attempt)-404.4([18].)-401.2(There)-398.9(were)-400.5(25)-403.7(indi-)]TJ
T*
[(viduals)-228(\(22.5%\))-231.6(who)-222.8(did)-224.5(not)-227.9(complete)-232.4(training)-227.6(and)-227.2(three)-225.7(who)]TJ
0 -1.2266 TD
[(did)-186.6(not)-183.7(pass)-186.9(the)-187.1(Board)-179.7(examination)-192.8(on)-183.2(the)-187.1(rst)-182.5(attempt.)-186(Ten)-183.3(of)]TJ
0 -1.2203 TD
[(the)-313.6(residents)-310.7(separated)-315.5(from)-305(the)-313.6(program)-310.5(because)-309.2(of)-306.7(perfor-)]TJ
T*
[(mance)-347.4(issues,)-346.8(with)-344.1(the)-345.2(remaining)-344.7(residents)-348.6(leaving)-343.8(the)-345.2(pro-)]TJ
0 -1.2266 TD
[(gram)-324.7(when)-324.5(they)-324.3(changed)-322.7(their)-324.1(minds)-324.9(because)-321.8(of)-319.4(a)-322(desire)-324.5(to)]TJ
0 -1.2203 TD
[(train)-500.8(in)-493.8(another)-497(specialty)-500.2(\(n)]TJ
/F9 1 Tf
13.1769 0 TD
(=)Tj
/F6 1 Tf
.7145 0 TD
[(7\),)-496.1(lifestyle)-497.6(or)-496.7(family)-495.9(issues)]TJ
-13.8914 -1.2203 TD
(\(n)Tj
/F9 1 Tf
1.0623 0 TD
(=)Tj
/F6 1 Tf
.7208 0 TD
[(3\),)-489.8(marriage)-486.4(\(n)]TJ
/F9 1 Tf
7.0564 0 TD
(=)Tj
/F6 1 Tf
.7208 0 TD
[(4\),)-483.4(or)-490.3(health)-484.4(\(n)]TJ
/F9 1 Tf
7.2334 0 TD
(=)Tj
/F6 1 Tf
.7208 0 TD
[(1\))-486.8([18].)-489.7(The)-486.8(authors)]TJ
-17.5145 -1.2203 TD
[(suggested)-325.9(that)-326.3(applicants)-323.1(older)-326.1(than)-322.9(29)-321.5(years)-322(of)-325.7(age,)-316.6(lack)-322.9(of)]TJ
0 -1.2266 TD
[(superlative)-233.6(comments)-229.9(in)-228.2(the)-231.4(summary)-223.7(in)-228.2(the)-231.4(Deans)-228.7(letter,)-229.2(no)]TJ
0 -1.2203 TD
[(participation)-196.5(in)-190.3(team)-193.5(sports,)-194.2(and)-189.3(having)-192(a)-182.9(merit)-191.9(scholarship)-197.1(in)]TJ
T*
[(medical)-215(school)-209.1(were)-210.8(predictive)-214.8(of)-211.9(attrition)-210.9(from)-210.2(this)-211(program.)]TJ
0 -1.2266 TD
[(Although)-476(these)-466.5(ndings)-471(may)-469.4(be)-465.9(unique)-469.2(to)-464.8(that)-471.7(particular)]TJ
0 -1.2203 TD
[(surgery)-291(program,)-281.8(we)-286.1(do)-284(know)-290.4(that)-282(attrition)-293.1(rates)-286.4(in)-285.1(categor-)]TJ
T*
[(ical)-271.4(surgical)-266.6(programs)-267.6(are)-272(running)-266.8(between)-275.2(15%)-266.2(and)-265.1(20%.)-269.1(In)]TJ
0 -1.2266 TD
[(the)-244(20072008)-235.9(resident)-239.8(survey)-236(data,)-239.4(the)-237.7(only)-241.7(factor)-237.2(that)-237.8(could)]TJ
0 -1.2203 TD
[(be)-535.4(identied)-538.2(with)-533.8(attrition)-533.3(from)-532.6(general)-536.1(surgery)-531.3(training)]TJ
T*
[(programs)-387.7(was)-375.5(postgraduate)-387.8(level,)-377.3(with)-382.1(the)-383.1(highest)-383.1(rates)-381.3(of)]TJ
T*
[(attrition)-318.3(in)-316.7(postgraduate)-312(years)-315.7(III)-309.4(and)-315.7(in)-310.4(the)-313.6(research)-320.8(years)]TJ
0 -1.2266 TD
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[(years)-258.8(of)-249.8(training)-259.2([20].)-249.5(This)-251.5(study)-257.2(demonstrated)-258.6(that)-250.4(although)]TJ
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[(turn)-189.3(to)-186.6(some)-184.9(data)-185.9(on)-189.5(the)-187.1(generational)-185.4(differences)-195.2(among)-184.7(those)]TJ
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