Paul Graham makes a few points that show why medical training needs reform. There's a disconnect between hard work and income in medicine: i. You work hard thr

Paul Graham makes a few points that show why medical training needs reform. There's a disconnect between hard work and income in medicine: i. You work hard throughout residency, yet your salary is fixed. The hardest-working neurosurgery resident gets the same check as the coasting primary care trainee. ii. Trainees are praised for their academic knowledge and their academic output, yet the highest-earning physicians are in private practice. iii. Physician jobs in desirable areas are scarce, and they pay the least. Hard-work improves your chances of getting a job in a competitive market, but at a lower salary.