And something I worry about, how are we going to get capable workers without their having first done these entry level jobs. There is the perpetual catch-22 of companies who want to hire people with 3 years experience to do an entry level job (Or any job really). But what I think is more crucial is that you can't doo the next job up if you haven't learned the lessons before. You need to be an intern to be a resident, a resident to be an attending etc. How will they know how to do anything? A lot of the frustration with the current generation is the expectation they should just know it. Nobody wants to teach. Teaching isn't a brief walk through of procedures either.