Academic Medicine

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Machiavelli and the chief resident.

Raviglione, M C

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A good chief resident is under pressure from residents and the department director and must work for the welfare of both the housestaff and the institution. Using precepts from Niccolo Machiavelli's The Prince, the author gives advice for chief residents on how to balance their responsibilities. The author, using Machiavelli's precepts, discusses the difficulties of introducing change, supervising former colleagues and peers, the opprobrium that inevitably attaches to tough decisions, the need to set good examples, and other aspects of being a chief resident.

(C) 1990 Association of American Medical Colleges


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