Lara Goitein is a physician specializing in pulmonary and ­critical care medicine and Medical Director of Clinician-Directed Performance Improvement at Christus St. Vincent Regional Medical Center in Santa Fe, New Mexico.
 (June 2015)

IN THE REVIEW

Training Young Doctors: The Current Crisis

Dr. William Osler (second from left) at the Johns Hopkins Hospital, Baltimore, where, in the 1890s, he created the first residency program for training physicians after medical school

Let Me Heal: The Opportunity to Preserve Excellence in American Medicine

by Kenneth M. Ludmerer
When I started my first year of residency in internal medicine at the Massachusetts General Hospital in 1998, there were 20 percent more patient admissions per intern in my residency program than there had been just three years earlier. The sheer number and complexity of my patients was nearly overwhelming—and I was worried that at best, they were not getting the care they had a right to expect, and at worst, that they were not safe.