I view with alarm (the fall of 1999)

This article emphasizes that medical schools only introduce students to the skills, including cognitive skills, that are needed to solve and manage me dical problems. These skills, including cognitive skills, should be perfect ed during house staff training. The teaching-attending physician is in the key position to be a true teacher. Without the help of excellent teaching-a ttendings, trainees may not develop proficiency in the skills, including co gnitive skills, needed for the practice of medicine.