A front-page story today reports that more than half the doctors beginning medical residency in July at Wayne State will be foreign-educated students. These graduates will fill 91 of 162 first-year residency spots, up from 79 of 166 the year before. While the shift reflects a broad trend toward more doctors from other countries practicing in the United States, it also underscores that the WSU School of Medicine - the largest single-campus medical school in the nation - is at a critical time of change. About 60 percent of WSU medical school graduates stay in Michigan to practice medicine. Students and administrators blame declining interest by some American doctors in the school's medical programs on concerns about the Detroit Medical Center stopping its co-sponsorship of five residency programs. The article mentions several "challenges" the university faces. Dr. Robert Mentzer, dean of the medical school, said he is working to "right-size the relationship with the DMC and maximize our opportunities with other health care systems." Dr. Diane Levine, vice chair of medical education at WSU, pointed out that international graduates of the medical school are very bright and they add diversity to the physician workforce in a changing U.S. population.