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Arch Otolaryngol Head Neck Surg. 2004;130:1451.

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

I concur with many of the issues Das¹ has emphasized regarding the enormous downside of the new Accreditation Council for Graduate Medical Education rules.

Learning never ends in medicine. The residency period is at best an introduction into a specialty; the subsequent years in practice require endless continuing education to improve—even to maintain—skills and proficiency. The perusal of a single monthly journal is a grossly inadequate preparation for the ongoing evolution of our specialty.

Patient care will deteriorate following the implementation of the new policies of residency performance. Communication, continuity of patient care, and personal responsibility appear to be de-emphasized, the result of working a maximum of hours and the indifference of academic leaders.

Let us recognize that the legal right to practice as a physician bears with it a burden of responsibility unparalleled in society.

Now to the report. I suggest that the issues of enhanced quality of personal . . . [Full Text of this Article]

AUTHOR INFORMATION
Louis M. Welsh, MD

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