THE MOUNTING CRITICISM of internship and residency programs suggests that a discussion of purposes and practices in this area is timely. Happily, the Council on Medical Education and Hospitals has determined to undertake an objective analysis of this phase of medical education, with the possibility that some significant improvements may be recommended.
My comments will emphasize the divergence in career interests among interns and residents and the need for maximum flexibility in establishing standards for their programs. It is clear that education must always be our first objective in this phase of medical education. The internship has been constricted or has deteriorated to such a degree that there is serious question as to its future essentiality. If we are to achieve flexibility in our residency programs, a review of the standards set by the specialty boards is indicated.
In 1940, the Commission on Graduate Education, Dr. Willard Rappleye, Chairman
Bowers JZ. Fundamental Purposes of Formal Education Beyond Medical School. JAMA. 1962;181(5):386–388. doi:10.1001/jama.1962.03050310026005
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