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I concur with many of the issues Das1 has emphasized regarding the enormous downside of the new Accreditation Council for Graduate Medical Education rules.
Learning never ends in medicine. The residency period is at best an introduction into a specialty; the subsequent years in practice require endless continuing education to improve—even to maintain—skills and proficiency. The perusal of a single monthly journal is a grossly inadequate preparation for the ongoing evolution of our specialty.
Welsh LM. The Future of Otolaryngology Is Now. Arch Otolaryngol Head Neck Surg. 2004;130(12):1451. doi:10.1001/archotol.130.12.1451