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May 17, 1995

Physician, Educate Thyself

JAMA. 1995;273(19):1533-1534. doi:10.1001/jama.1995.03520430069041

WE RECENTLY had the opportunity to interview nearly 50 residents in internal medicine training programs, most of whom hope to attain leadership roles in academic medicine in the future. They were drawn from 17 residency programs and represented over 25 medical schools. All professed a deep commitment to the pursuit of academic careers and had come to interview for a handful of fellowship positions in cardiology.

To move the interviews beyond a monotonous recitation of qualifications and career plans, we asked many of the residents for their thoughts about health system reform. We were shocked when we barely got a response. A few residents offered some brief insight into the scope of the challenge to reform. Fewer enunciated some broad goal of reform such as universal insurance coverage. None had any well-formed ideas about how to actually address these challenges or realize these goals, or could even render a reasoned

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