A lot of the training is on the job and part of it is that every patient is different and every situation is different, so, in fact, it's certainly hard to train for every situation you're going to encounter in a brief period of medical school.
Having said that, we certainly have come to believe that, for instance, having a better understanding of pain, what contributes to pain, and how it can be analyzed and treated is a more important aspect of medical training than we had realized, perhaps, in the past.
The problem is you can say that about 20 things that we now know that we didn't know five years ago. The medical school curriculum is only so long. What we're doing about that is being very active on the level of continuing professional development, continuing education for physicians, and increasingly...for teams in family medicine, to help us stay on top of the ways medicine and patient problem-solving are changing.