The Central Surgical Association was organized 35 years ago in Michigan. The list of founding members is composed of men who had the education of the surgeon as their chief concern. One cannot help but be impressed with names such as Roy McClure, Frederick Coller, Dallas Phemister, Fraser Gurd, and Henry Ransom, to name just a few. These men were leaders in surgical education in 1940 and they helped form the backbone of the central North American residency training programs. Their leadership was instrumental in setting up standards and methods of education by which many of us were trained. In view of our Association's heritage and the turmoil of our time, it seems appropriate to review the problems and goals of surgical education today.
There are at least 340 approved general surgery training programs in the United States today. These 430 programs graduated 1,580 trainees last year. They had the