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| A tenuous analogy, to be honest |
As a trainer, Philosophy #1 is tempting, particularly when you're a new consultant.
The trainees in my deanery have pretty full logbooks, and we get trainer feedback that tells us if we're not giving trainee cases. But, there is an unhappy and impractical obsession with some surgical trainees putting operating as a priority far beyond clinical assessment, ward work, outpatient clinics and all the other stuff that doctors - as surgeons, believe it or not are doctors - should be doing.
To be fair the UK ISCP system using work based assessments does make an attempt to deal with this, albeit there's a limit to how much you can bureaucratise clinical work and clinical education.
At the very least Leo Gordon's phrase: awarding surgical responsibility without demanding (such) knowledge sells the resident short. In a greater sense it sells short the discipline of surgery...merits a little bit of contemplation.
And the penultimate paragraph is 100% true.
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