European Stars And Stripes (Newspaper) - January 17, 1986, Darmstadt, Hesse                                Friday january 17, 1986 the stars and stripes Page 7 a hospitals7 intern supervision faulted Washington a requirements for supervising surgical interns at veterans administration hospitals arc being met with a Lack of compliance throughout the a system says a government report. The study made available wednesday prepared by the general accounting office the investigative Arm of con Gress said the problem is especially severe in the a s just before and after operations by the residents doctors who have just completed medical school and Are consid ered still in training. La said that in nearly half the cases examined supervising surgeons failed to write or countersign notes before surgery showing agreement with residents diagnosis and treatment plans. In nearly a third of the cases reviewed the senior surgeons failed to see the patients within 24 hours after sur Gery it added. Supervision during surgery was called generally Ade  but the report said that for one operation at the a Hospital in West los Angeles Calif., a resident in the operating room said the doctor covering the Case was available by Telephone at his los Angeles office. A later Check showed the doctor was actually in Chi Cago and believed another surgeon May have covered the Case the report said. The report concluded that even though the a has developed criteria for proper supervision of residents there is a Lack of compliance throughout the a  us facts on khad Afy says Carter Tampa Fla. A former president Jimmy Carter says president Reagan should reveal any evidence that libyan Leader col. Moa mar khad Afy knew about last month s terrorist bombings at the Rome and Vienna aus Tria airports. If he s got evidence that khad Afy was actually involved in or aware of the recent attacks on the two air ports Carter said at a news conference then he ought to make it Public because there is a great Deal of doubt. Some in this country and All Over the  Carter Reagan s democratic parly predecessor in the while House from 1976 to 1980, came to Tampa for a lecture at the University of South Florida. I think the marshalling of major military forces around the Periphery of Libya causes our allies and others a great Deal of concern said Carter. You ought not to Ever marshal your forces. Unless you really intend to use Ihm or unless there s some direct threat to the Security of our nation he said. Carter said on the other hand that Reagan has shown great moderation in dealing with khad Afy. But he criticized Reagan for Loo much  it has elevated khad Afy to a position of importance in the world political sphere. Elevated above and beyond what he has been and should be he said. We believe the Lack of compliance occurred because a had not precisely defined adequate supervision and a Hospital enforcement of a s supervision require ments differed the study said. In a letter in the report a administrator Harry n. Walters said he agreed that the a needed to change some of its criteria for overseeing the residents. But he added that the report  not demonstrate any link Between the Issue of supervision of residents and the Quality of the surgical training program or Quality of  the  Survey was done after sen. Alan Cranston d-Calif., ranking minority member of the Senate Veter ans affairs committee asked for a follow up on a 1977 study that found 69 percent of the operations performed by residents at a hospitals were unsupervised. The new report found that of 148 operations examined the supervising surgeon was in the operating room in 102 cases and was either in the operating room suite or less than 13 minutes away 22 times. Gao investigators visited 10 a hospitals and is non a hospitals and sent questionnaires to surgeons and Resi dents at 28 a hospitals from april 1983 to March 1985. Among the report s findings were  could not use a s own standards to assess whether supervision was adequate because the a Stan Dards were too  for example a said supervising surgeons must provide appropriate supervision before operations. When  Drew up its own standards for supervision using advice from medical experts Only 34 percent of the 148 operations were in compliance with All of  s criteria the  standards described More specifically what supervising surgeons would be required to do. A hospitals checking of supervision of residents varied and a Headquarters did not adequately Monitor the hospitals. During the 1984 fiscal year 105 of the nation s 172 a hospitals had surgical residency programs which trained about 7,000 residents. A hospitals studied and the percentage of cases exam ined at each that were in compliance with All  super vision standards before during and after the operations Atlanta ga., 46 percent 100 percent. 60 percent. Charleston s.c., 100, 100,85. Kansas City kan., 43,100, 23. Loma Linda Calif. 42,100, 55. Memphis tenn., 82,92,93. Palo Alto Calif., 46, 100, 73. So Pulvida Calif., 67,100, 62. Washington d.c., 47,100,79. West Haven conn., 21,36,13. West los Angeles 18,93,46. In the Market for futures traders Jam the pit after the Chicago mercantile Exchange opened trading in european currency unit futures in bids to predict whether the currency unit will Rise or fall. The commodity futures trading commission had approved the trading or the futures contracts. The european currency unit is a composite of currencies in 10 member countries of the european monetary system. Trading opened wednesday rocket found March to Justice department in basement Meese s office turns Jackson away is disarmed Whitefish Bay wis. A eight Homes in this Milwaukee suburb were evac Ual cd for two hours As army specialists Dis armed a military rocket found by a woman As she was cleaning her basemen a. Mary Wells said she found the device tues Day in a military fool locker belonging to her estranged husband who served in Vietnam. La s capable of knocking out anything in its path said capt. Carl Ruscitti head of the Milwaukee police depart Cal s bomb squad. It could have gone through a House. A kick a bump a fall could have set in off a safety ring fell off the 2-fool-Long rocket Asil was being disarmed by an army Crew from fort Sheridan 111. Mrs. Wells who has lived in the House for 10 years said she did not know the rocket was in her basement. Washington a the Rev. Jesse Jackson was turned away at the door of the Justice department As he sought to present attorney general Edwin Mccase Iii with a Long list of complaints against the Reagan administration s civil rights record. Jackson led a group of about 250 March ers from the or. Martin Luther King or. Library to the department on wednesday the 57th anniversary of King s birth. They picketed and chanted what do we wan Justice when do we want it now As Jackson a one time King aide sought unsuccessfully to meet with Mccase. We arc assembled Here said Jackson not Only remind the nation of the unfinished Agenda of Justice in our country but also to focus National attention on these rious assaults upon or. King s legacy by the present administration of this department that seeks to turn the clock Back and eliminate the gains thai have been won Over the past 30 years. For Over a Quarter Century the Justice department under Republican and democratic administrations sought to protect the policies enunciated in Brown the super Mccourt decision Banning segregated school systems As Well As legislated in the civil rights act of 1964 Jesse Jackson and the voting rights act of 1965," Jackson said. The Justice department under the Reagan administration has failed to carry out its responsibility he said. Jackson was met at  depart ment door by a squad of uniformed police and Amelia l. Brown assistant director of Public affairs who told him he could not enter the building without an appointment. She offered to take his written grievances and relay them to the attorney Gen eral. Jackson refused saying he would nol Deal with a Public relations person. He demanded to speak with someone directly from Meuse s office. After Jackson had stood his ground in a crush of police officers supporters and re porters for More Thun 30 minutes. Steven Calu Bercsi a special assistant to Meese appeared at the door. The standoff ended when Jackson agreed to present his materials to Calabresi in Exchange for a Promise thai they would be reviewed and consideration would be Given to a Diacci meeting with Meese