Trends in residency education in America and internationally.

Health care reform proposals include many sections related to graduate medical education, number of physicians needed, and specialty distribution of physicians. In our attempts to address these concerns, we must examine the present method of graduate medical education in orthopedics and its subspecialties and understand how a variety of proposals might impact this. We then must try to be innovative in our discipline as these proposals move through government and regulatory channels. All orthopedists should be concerned with and involved in this process.