To the Editor: I would like to thank Drs Cappell (1) and Daram (2) for their thoughtful comments on my article on the future of Gastroenterology fellowship training (3). It appears that we all agree that 7 years of post-graduate training for Gastroenterology is too long. First, this length of training is probably not needed to produce well-trained clinicians; second, there is a financial disadvantage to the physician with lengthy training; and third, long training may discourage physicians from pursuing a subspecialty and/or an academic focus. Both Drs Cappell and Daram suggest shortening Internal Medicine (IM) residency or incorporating a “GI specialty focus” during the third year of IM residency. This is in contrast to the suggestion made by the Multi-Society Task Force on GI Training to move much of the subspecialty Gastroenterology (GI) training into the traditional 3-year fellowship (perhaps with the sole exception of interventional endoscopy).