In 2011, the training time of the Post-Graduate Year General Medicine Training Program (PGY Program) will be extended to 1 year. This course extension is expected to have a significant impact on all trainees, trainers and training hospitals. The control of these impacts may be regarded as a determining factor in terms of the program's success or failure. Therefore, all stakeholders should have concerns and need to consider this issue. There is a need to work together to make sure that the preparation of training sites, the collection of funds, the management of human resources, the maintenance of teaching quality and quantity, and finally, guarantees of trainees' rights and benefits are correctly implemented. The aim of this article is to produce valuable comments from readers by presenting some of the obvious impacts resulting from the changes in the PGY Program and suggest probable methods of coping with them.