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William Winkenwerder, Jr, MD
University of Pennsylvania Philadelphia

JAMA. 1986;255(22):3113-3114.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

In Reply.—

I agree strongly with the comments of Drs Forrow, Arnold, and Cassel and Ms Blank. There are major deficiencies in graduate medical training programs regarding ethical dimensions of clinical care, and the residency training period would be the best time to have an impact on physicians' behavior. However, there are obstacles in addressing this problem. Many attending physicians are not prepared to discuss, much less teach, ethical problems in patient care. Such activities are not rewarded. There is little consensus about how to teach approaches for dealing with complex ethical dilemmas. Residents already feel over-whelmed with their current load of educational demands. Nonetheless, efforts must be made, and I am gratified by the obvious interest of the American Board of Internal Medicine and others in seeking better ways to prepare physicians for ethical dimensions of clinical care. It can be done.

I share Dr Light's belief that time . . . [Full Text PDF of this Article]

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