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Ira S. Nash, MD; Richard C. Pasternak, MD

JAMA. 1995;273(19):1533-1534.

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

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 . . . [Full Text PDF of this Article]

Author Affiliations
From the Cardiac Unit, Department of Medicine, Massachusetts General Hospital and Harvard Medical School, Boston, Mass.

Footnotes
Reprint requests to Jackson 1402, Massachusetts General Hospital, Boston, MA 02114 (Dr Pasternak).

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