I have loved being a physician for almost 5 decades. I feel that the medical education system has been successful in creating professionals that are skilled, humanistic, and caring. However, I am also convinced that we could do a better job. Having seen all that I have seen over the years I feel I have some credibility in offering opinions on how to make positive changes in this complex system. I am not saying that I am right. I am also not going to offer an in-depth scientific analysis while quoting articles and research. This blog is going to be just a way for me to put forth my opinion and hopefully generate discussion, and then see where it goes. I look forward to having people reply to me with their thoughts and perhaps this may result in some positive changes. The wonderful thing about the system of creating new doctors is that we have the opportunity to impact countless lives because of the number of patients they will have throughout their careers.