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Council on Medical Education

JAMA. 1990;263(21):2927-2930.

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

THE COUNCIL on Medical Education has responsibility for the study and evaluation of the continuum of medical education and is addressing graduate medical education (GME) with this report. The Council believes that the current system of GME, based on hospital-sponsored residencies, effectively prepares physicians for their future practice. The educational content of residency programs must respond to changes occurring now and those expected in the immediate future. The following are some changes that can affect GME:

• At present, virtually all medical school graduates complete a minimum of 3 years of residency training.
  
• The emphasis on health care provision has changed from largely inpatient care to a system that utilizes more ambulatory care than in the past; hospital stays are shorter; patients in hospitals tend to have more serious illnesses.
  
• Subspecialty education is receiving more emphasis.
  
• The need to define an appropriate balance between education and service remains.
  
• The appropriate supervision
  

Author Affiliations
From the Council on Medical Education, American Medical Association, Chicago, Ill.

Footnotes
This is an abridged version of Report B of the Council on Medical Education, adopted by the House of Delegates of the American Medical Association at the 1989 Annual Meeting.

Reprint requests to Council on Medical Education, American Medical Association, 535 N Dearborn St, Chicago, IL 60610 (Carlos J. M. Martini, MD).

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