—Dr Yarnall has misunderstood the conclusions in my article. The title was assigned at a panel presented at the annual meeting of the American College of Cardiology. I stand on the statement that medicine as a profession is indeed at risk. This does not mean that a situation at risk is necessarily hopeless. The 50-year-old man alluded to, with multiple major risk factors, is certainly at risk and much more at risk if these factors are not recognized and efforts made to modify them. The analogy applies to our profession.
The fact is that medical school admission committees are not controlled by physicians—male or female. (Nowhere in the article did I object to women members.) If Dr Yarnall feels that this is progress, as he seems to, it does not alter the reality—a reality not in keeping with an independent profession. With regard to his second point, I stand