1 Department of Pediatrics, University of Washington, School of Medicine, Seattle, Washington 98105
Nothing devastates an author more than to find something he wrotehe hoped carefullyhas been misunderstood, particularly when he has offended. I hope that you and several friends who have written, as well as other readers, will accept my apologies. I did not intend to defame or condescend. I wished to publicize my concern for the inappropriate conditions under which many foreign graduates find themselves in graduate medical education, in the hope that something might be done to change the system.