When will we as leaders in medical education "get the picture?" When will we comprehend that our programs of graduate medical education have major flaws? The article by Irigoyen and colleagues1 in this issue of AJDC presents more evidence of the negative outcomes of graduate medical education. These outcomes may occur because we are overstressing the learner. At a time when American society is concomitantly experiencing a significant surplus of physicians and a loss of interest in our profession, those who are leaders in medical education must begin to ask questions about the structure of our programs of graduate medical education. Is it possible that the young, potential physician is "turned off" to programs of education that offer very high levels of stress, 90- to 100-hour work weeks, exposure to lethal disease, and major challenges to viable and healthy family relationships?
See also p 432.
Are we satisfied that the