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July 1, 1974

NB Medical Examiners Implementations

Author Affiliations

Chairman, AMA Committee on House Staff Affairs Chicago

JAMA. 1974;229(1):25. doi:10.1001/jama.1974.03230390017012

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To the Editor.—  Dr. George Engel has addressed himself (228:579, 1974) to one of the most frustrating situations that face any society—namely, that far-reaching proposals are usually made by an elite that then manage its implementation without too much opposition from those that are affected. These proposals are usually intertwined with well-intentioned promises that they will be approached with caution and after much deliberate study. More often than not, and medical education is no exception, the constituency finds itself presented with a fait accompli. The constituency, however, must be considered partially at fault, for one finds the mass of protests arising usually after implementation of such proposals. Many people seem curiously insensitive to suggestions that could radically alter their environment.The report of the Committee on Goals and Priorities is one such comprehensive series of proposals, yet as Dr. Engel has so succinctly pointed out, few from the constituency have