This experiment has failed
CMAJ 1997;157:872
Re: "Our future physicians deserve better" (CMAJ 1997;156:1701 [full text]), by Dr. Donald G. Marshall
I heartily endorse the letter from Dr. Marshall, which says that requiring medical students to choose their future career path long before they know enough is grossly unfair.
The old system of junior rotating internships for everyone produced much more balanced graduates from both family practice and specialty programs. Very few physicians-in-training have a good sense of what true practice entails or whether they have the interest and stamina for it. Every branch of medicine deserves
to have only those who want to be there. We have all experienced the lukewarm participation of those who would rather be somewhere else. For the sake of our students, our profession and, most of all, our patients, we must return to common sense in specialty training.
George T. Riley, MD
Oakville, Ont.
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