the curriculum vitaes submitted by the various graduates are shown in Table VII. With very few exceptions, all items submitted are listed, including abstracts, papers in journals, chapters, books, and a scattering of articles appearing in non-peer reviewed publications. The 36 residents who have always been in private practice list a total of 44 publications or a mean of 1.2 publications per graduate. The individuals who started out in full-time academic careers but then went into full-time practice have published a total of 277 articles, a mean of 34.6 per graduate. The 10 individuals always in full-time academic medicine list a total of 613 publications, a mean of 6 1 per full-time graduate (Fig. 5). In conclusion, it should be stated that a program as flexible as ours was during the decade of the 1970s would not be applicable to most other American training programs. There may be some features of our approach, however, that might find limited usefulness in the 1980s.