The Impact of Expansion: One family medicine department's experience with mandatory 2-year residency programs.

Postgraduate training for family physicians has become increasingly centred on 2-year residency programs. The expansion of family medicine residency programs in Quebec raises challenges: to uphold program standards, to recruit and develop new teachers, to recognize and respect the needs of students, to balance program objectives with service requirements for house staff, and to adapt to change within family medicine centers and their affiliated hospitals.