Leadership in postgraduate medical education.

their core PG 1–3 training. Although Dr. Kuhn’s suggestions have merit, our past history suggests that attempting to employ the CA3 year to develop perioperative specialization is likely not to be successful. Conversely, our internal medicine colleagues routinely direct individuals into 2and 3-yr fellowships after completion of a 3-yr internal medicine residency. By restructuring the training continuum into clearly defined basic and advanced components, we may well enjoy greater success in producing the physicians that I suspect both Dr. Kuhn and I hope our trainees will become.