Problem Doctors: Is There a System-Level Solution?

  1. Lucian L. Leape, MD; and
  2. John A. Fromson, MD
  1. From the Harvard School of Public Health, Boston, MA 02215, and Metro West Medical Center, Natick, MA 01760.

    IN RESPONSE:

    We agree with Dr. Kuhn that much more attention needs to be paid to assessing medical students and residents for their suitability and fitness to practice medicine, and that failure to do so is a breach of the fiduciary responsibility of schools and hospitals. These are issues that the Association of American Medical Colleges and specialty boards should address.

    However, Dr. Kuhn's dismissal of the need for additional testing is diametrically opposed to every specialty board's strong (and, we think, laudable) initiative to …

    This 100-word excerpt has been provided in the absence of an abstract.

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