Issn Print: 0148-7043
Publication Date: 2001/10/01
Thoughts from Across the Pond
Excerpt
I recently had the wonderful opportunity to take a three-month “mini” sabbatical in England. My great friend Jim Frame expedited this. Jim was aware that I have had experience designing an ambulatory care facility, including operating rooms. The National Health Service (NHS) is attempting to privatize by outsourcing care to the private sector, for example, over 1 million operations will be outsourced in the coming year. Jim and I wondered whether the lessons learned would allow us to expedite this planning in England. I also set goals for myself. My working hypothesis was that the training paradigm used by the Accreditation Council for Graduate Medical Education (ACGME) supported better training programs in the United States, but that evaluation techniques and promotion criteria for trainees were better implemented in England. In general, that hypothesis is true. These three months allowed time to operate, see patients, plan, sightsee, visit various plastic surgery units, as well as contemplate the future. Here are some random thoughts—
My three months were great. I am refreshed—reinvigorated. It’s exciting to be back—there’s a new enthusiasm.
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