Standards for Graduate Medical Education

Graduate medical education—the internship and residency training programs—long an area of hospital-individualized activity, will surely undergo major changes during the next several years. Two lines of force are rapidly evolving to effect this change, and all segments of the medical profession will be involved. The first is the growing sense of responsibility on the part of the university medical centers for assuming administrative direction and involvement in the training of physicians beyond the doors of the medical school itself. This point of view, succinctly summarized by the Association of American Medical Colleges' Committee,¹ chaired by Dr. Thomas Kinney, declares that not only does the university have a vital stake in the education of all trainees studying within its facilities, but that there must be assurance of educational excellence in all comparable programs which are, in fact as well as in principle, extensions of the medical school educational programs. As