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Arch Pediatr Adolesc Med. 2003;157:206-207.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

We wish to respond to an editorial by Drs Kemper and Freed¹ that accompanied our study² of hospitalists and housestaff education in the September issue of the ARCHIVES. In this study, we found that hospitalists were rated higher as educators than traditional attending physicians, and that the introduction of a hospitalist system was associated with improved intern experience, skills, knowledge, and quality of life. Senior resident experience remained unchanged overall, but we observed nonsignificant decreases in senior resident reports of their decision-making abilities and autonomy. On the basis of these decreases, Drs Kemper and Freed expressed concern that improvements for interns in hospitalist systems might come at the price of a "loss of senior resident autonomy" and independent decision-making skills for senior residents.

We recently analyzed 2001 data that may shed further light on this issue. Overall, senior residents' ratings of inpatient general pediatrics rotations improved to 4.7 out of . . . [Full Text of this Article]