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September 4, 1996

Training Too Many, Training Too Few

Author Affiliations

Brookline, Mass

JAMA. 1996;276(9):729. doi:10.1001/jama.1996.03540090075016

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It was a Friday morning in June 1995, and my final day at the hospital where I had virtually lived for four years. I arrived there at 6 AM, and by 10 I had visited my patients, joined in a meeting for quality improvement, and listened to the residents complain about coverage the previous night. As one of the departing chief medical residents, I was to deliver a graduation speech in the hospital's main auditorium. The ceremony was beginning in an hour, and I still had not translated all my ideas into words.

There was much to say. I was among the first few exchange visitor international medical graduates (EVIMGs) to join the program and the first to have become a chief resident. I wanted my speech to capture the experiences that other EVIMGs and I had lived through during training. Despite our different backgrounds, we had confronted similar challenges