In her Anesthesia Division report for the last year of World War II, Apgar's frustration with staffing shortages and increased workload was very clear. Frequent personnel changes, too little teaching of surgical residents, too much teaching of medical students without adequate supervision, and an increase in surgery schedules, she said, all helped explain why the anesthesia service left much to be desired. She proposed that the anesthesia division be expanded, and that its medical student teaching program be changed radically. Anesthesia instruction for interns had improved to the point where it no longer seemed necessary to provide practical experience for all medical students, she said.
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