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September 1973

On the Merit of University Responsibility for Graduate Education

Arch Intern Med. 1973;132(3):454-455. doi:10.1001/archinte.1973.03650090124023

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The entire educational program for the training of an internist with a subspecialty interest will soon come under the administrative responsibility of the university medical center. At that point, July 1975, there will no longer be any freestanding residency or fellowship training programs; all will be university-directed or affiliated. This turn of events represents a major extension of university governance and it is extremely important that thoughtful planning be conducted now so that the full range of new opportunities be explored and reviewed.

What we have before us is nine years of educational experience: four years in a degree-granting medical school, three years in general medical residency training, and two years in subspecialty fellowship or residency experience. At the end of this time there has been produced a board-certified internist who also may qualify as a subspecialist, and who is expected to provide or oversee a wide spectrum of health

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