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Maximizing Postgraduate Surgical Education in the Future is from the Bulletin of the American College of Surgeons February 2012 magazine (Volume 97, Number 1).  The article describes the transformation from an apprenticeship model to more formalized curriculum-driven experience where competence, not time, defines the duration of training.  Deliberate practice, reflection, and portfolios are established components of adult learning that will help develop these skills in postgraduate educational experience.