Graduate medical education has been undergoing rapid and significant changes in response to a variety of forces, including people's health needs and expectations, new diagnostic and therapeutic techniques, and changes in certification requirements. To be effective, educational programs must have the capacity to change, involve a certain amount of experimentation, and be flexible in approach and design. With this in mind, the Office of Graduate Medical Education (GME) envisions the present training programs as ongoing and evolving. For example, when Northwestern recognized that more physicians needed to be trained in primary care, officials developed new programs and decreased enrollment in others. Northwestern University Feinberg School of Medicine enjoys an outstanding reputation for teaching and research, and the combined resources available to the more than 800 graduate medical education students enrolled each year are varied and extensive. The member hospitals of the McGaw Medical Center of Northwestern University, with a total bed capacity of 2,224, are recognized for excellence in providing high-quality patient care. Ambulatory care experience is provided by assignment to the Northwestern Medical Faculty Foundation's Ambulatory Care Center, hospital outpatient services, and special diagnostic facilities. The Feinberg School, in affiliation with the member hospitals of the McGaw Medical Center of Northwestern University, offers 27 fully approved residency programs and a number of advanced-level fellowships. | 
