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What Is the Most Likely Source of the Following Quote

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What is the most likely source of the following quote: American medical training is attached at the end of a very long and expensive education that keeps the supply of physicians low and their incomes and social backgrounds very high. This formal education appears to have little real practical relevance; most actual training is done on the job in the most informal circumstances, through the few years of internship and residency.


Definitions:

"Face" Cards

In a deck of playing cards, the king, queen, and jack of each suit, which have pictures of faces on them.

Standard Deck

A set of 52 playing cards divided into four suits: hearts, diamonds, clubs, and spades, each containing 13 ranks from Ace through King.

Suit

A set of garments made from the same cloth, usually consisting of at least a jacket and trousers, worn traditionally by men.

Shoe Sizes

A numerical indication of the fitting size of a shoe for a person.

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