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The training that new doctors receive during their residencies needs to be updated to make it more relevant to the needs of current patients and more closely linked to when students achieve outcomes than to how long they spend on tasks, says a new report on reforming graduate medical education. The report, released today by the Josiah Macy Jr. Foundation, follows the May release of a report by the Macy Foundation and other groups on transforming medical education to focus on competencies.