Graduate medical education: where do we go from here?

The tremors that are shaking the world of medicine are reshaping the landscape of graduate medical education (GME), and along with it, the future of the medical profession in the United States. GME--essentially medical residencies and, to a lesser extent, research fellowships--is the crossroads where career aspirations become professional choices, and where decisions are made, both on a macro and micro level, that will shape medicine for years to come.