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Clinical Role Models: Importance of Attending Faculty

Prem Pais, MD
Arch Intern Med. 1991;151(4):818. doi:10.1001/archinte.1991.00400040146042.
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To the Editor. —  I read with interest the thoughtful article by Greganti1 on clinical role models for the trainee physician and medical student. As a clinician and teacher in a medical school in India and having also done a 3-year residency in internal medicine in the United States, I would like to comment on another aspect of training programs in American university hospitals—the "rambo resident." In most city hospitals, the role of the faculty in bedside teaching and daily patient management is minimal. The twice-aweek attending faculty rounds are usually limited to academic, often rarified discussion, lightened by some of the attending faculty and baiting by the more aggressive of the senior residents.Thus, it is the resident who becomes the role model for the student and the intern. The image that I have of the typical resident is a person rampaging around the wards, with beeper sounding,


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