Reform is defined as "to improve by attention, correction of error, or removal of defects." Graduate Medical Education (GME) needs more attention, correction of errors, and removal of defects. It is easy to point out the defects and errors of our graduate medical education system. We do not have enough physicians (some estimates predict a physician shortage of up to 159,000 by 2025); we do not have enough primary care physicians (by some estimates, we need at least 40% of physician force in primary care); our medical care system is too expensive ($9.6 billion spent by Medicare for GME in 2010); or we are more focused on technology than patients (high tech versus high touch).
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