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Dr. Butch Palay introduced the concept of an accelerated track for family medicine residency at Mercer University School of Medicine, known for producing physicians for rural and underserved areas. The goal was to train qualified individuals with less debt for primary care specialties. This required creating a curriculum that maintained the same substance and quality of education as a four-year program in less time. Residencies were also crucial in supporting and accepting these young, qualified physicians.