Machiavelli and the chief resident

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Abstract
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 .

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