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May 14, 1960


JAMA. 1960;173(2):177. doi:10.1001/jama.1960.03020200049016

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Medical training in the postgraduate years is discussed by Stanley E. Dorst in this issue of The Journal. "Dilemma" is the title of communication, but it might have been captioned "Who Is to Do It," "Whither Away," or "Why Wasn't Something Done About It Earlier?" Several pertinent facts are emphasized and several crucial questions posed. The Flexner Report of 1909 is placed in proper perspective. The recommendations of this report were responsible for the transition in predoctoral medical education from poor or mediocre to the pinnacle of excellency. But the current pinnacle in predoctoral medical education that has been reached may be likened to a single peak in a mountain range. There are other peaks that must be conquered in the struggle for attainment. Reference is made specifically to postdoctoral medical education. The provision of an adequate number of interns and residents for hospitals throughout the country is an enigma

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