Combined internships between community hospitals.
For the past seven years the physicians of Pittsfield, Mass, have been engaged in an experiment in graduate medical education. This report states the purpose of the project, describes the initial phases, preliminary results, and discusses the interrelationships between a community hospital and a university medical center. Medical educators agree that the highest quality of education, with few exceptions, is found in the university environment. In 1966, university hospitals accommodated only one half the total number of house officers; the other half were located in nonuniversity hospitals. Since university hospitals cannot soon cope with this problem, an urgent challenge emerges: Community hospital programs, of comparable caliber to the university medical center, must be developed. 1 The Pittsfield Affiliated Hospitals Education Program was devised to produce an educational environment by simulating the university medical center. The Council on Medical Education has been continuously consulted about the objectives and the progress of
Issues in graduate medical education.
Happily, in discussion of the issues in graduate medical education, I was not asked to suggest the resolution of these issues nor the solution of these problems. Therefore, I shall simply delineate issues and identify problems and take the liberty of expressing my personal opinion about their relative importance. I shall confine the discussion to five issues which I believe to be of paramount importance, in my layman's view, and must be faced and resolved most promptly. These issues are (1) discontinuity in the educational process, (2) the persistence of the apprenticeship in the process of education and training, (3) the ineffectiveness and inadequacy in the organization in our present institutions of medical education, (4) the failure to clearly decide on the role of the university in graduate medical education, and (5) the present unsatisfactory balance between generalization and specialization. Discontinuity The process of educating and training the future physician
Teaching learning disability to undergraduate medical students
The education of doctors shapes their professional identity: who they are and how they practise. Where does the issue of learning disability fit in? What is it and of what factors should doctors in training be aware?

The training of medical students has been defined by the General Medical Council (