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In spite of the acknowledged needs of nonuniversity hospitals for interns and residents, and the desire of staffs to further medical education, their programs are in trouble. High salaries, lush accomodations, fringe benefits, and red-carpet treatment are brushed aside. Are we in sight of a satisfactory answer? Is the tide of medical education circumventing the nonuniversity hospital, overlooking its ample patient population and highly trained staff? Is there prejudice or unfairness? But, are such hospitals unnecessarily troubled, missing opportunities for educational pursuits in other fields, while focusing primary attention on residency training per se?
There are 4 basic difficulties, centering around supply and demand, confronting the nonuniversity hospital. 1. There are too few qualified candidates to go around. 2. There is a resistance to train in hospitals not fully concerned with medical teaching and research. 3. It is often felt that "service" is an underlying motive in having a resident
A MOUNTING DILEMMA. JAMA. 1961;176(10):869–870. doi:10.1001/jama.1961.03040230035011
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