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PIECEWORK.(hospital doctors)(Column)

The New Yorker

| April 04, 2005 | Gawande, Atul | COPYRIGHT 2005 All rights reserved. Reproduced by permission of The Condé Nast Publications Inc. This material is published under license from the publisher through the Gale Group, Farmington Hills, Michigan.  All inquiries regarding rights should be directed to the Gale Group. (Hide copyright information)Copyright

To become a doctor, you spend so much time in the tunnels of preparation--head down, trying not to screw up, trying to make it from one day to the next--that it is a shock to find yourself at the other end, with someone shaking your hand and asking how much money you want to make. But the day comes. Two years ago, I was finishing my eighth and final year as a resident in surgery. I had got a second interview for a surgical staff position at the Brigham and Women's Hospital, in Boston, where I had trained. It was a great job--I'd get to specialize in surgery for certain tumors that interested me, but I'd also be able to do some general surgery. On the appointed day, I put ...

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