Residency programs need to acknowledge this shift of operating principles no less than other endeavors. Enjoyable means that a level of enthusiasm and purpose is present. Recent medical school graduates respond enthusiastically to this approach. I also believe that the increasing numbers of women entering medicine are having a profound and refreshing effect on how we train and how we practice. This is good.
Enjoyment is possible.
Enjoyment is not bad. Dr. Edmond's emphasis on mission statements, although supported by much of the management literature, seems overstated to me. Would that I had a dollar for every carefully crafted organizational mission statement, most of them indistinguishable from each other, gathering dust in the file drawers of America. It is difficult for me to believe that these statements really have much effect on residents or program directors. Nevertheless, many important ideas are brought forward.