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The Orthopaedic Forum   |    
The Orthopaedic Surgeon's Standard of Living Versus Quality of Life
Fred Ritchie Trew Nelson, MD1
1 Department of Orthopaedics, K-12, Henry Ford Hospital, 2799 West Grand Boulevard, Detroit, MI 48202-2689. E-mail address: nelson@bjc.hfh.edu
The Journal of Bone & Joint Surgery.  2004; 86:182-183 
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Extract

The standard of living for an orthopaedic surgeon is high. By standard of living, I mean those material things that are beyond the essentials of food, clothing, and shelter. For some, that may be expensive cars, homes, boats, exotic travel, or sequestered wealth. As I started in my career, I was offered an opportunity to go on for a PhD. The decision to continue in surgical practice was based on my desire to maintain my surgical skills. There was also a part of me that had to be the provider of a "higher standard of living" for the family. I justified that high standard by the extensive time and intensity of training. It was further justified by the future long hours away from family and leisure. To me, extensive travel with the family met that standard and at the same time raised our quality of life. I felt that this luxury had been bought with night call and numerous weekends that were lost to trauma and rescheduled surgery. As the years passed, I began to see colleagues move to other locations or completely change careers. Were they seeking greater financial reward, or were they looking for something else? Although I remained satisfied with my standard of living, I realized that the time had come for me to pursue my interests in the basic sciences.
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    These activities have been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint sponsorship of the American Academy of Orthopaedic Surgeons and The Journal of Bone and Joint Surgery, Inc. The American Academy of Orthopaedic Surgeons is accredited by the ACCME to provide continuing medical education for physicians.
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