Britain’s royal family attends Christmas services

LONDON (AP) — Britain‘s royal family is attending Christmas Day church services — with a few notable absences.

Wearing a turquoise coat and matching hat, Queen Elizabeth II arrived at St. Mary Magdelene Church on her sprawling Sandringham estate in Norfolk. She was accompanied in a Bentley by granddaughters Beatrice and Eugenie.

Her husband, Prince Philip, walked from the house to the church with other members of the royal family.

Three familiar faces were missing from the family outing. Prince William is spending the holiday with his pregnant wife Kate and his in-laws in the southern England village of Bucklebury. Prince Harry is serving with British troops in Afghanistan.

Later Tuesday, the queen will deliver her traditional, pre-recorded Christmas message, which for the first time will be broadcast in 3D.

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Recipes for Health: Penne With Mushroom Ragout and Spinach

Andrew Scrivani for The New York Times

Penne with mushroom ragout and spinach.

​​Mushrooms and spinach together is always a match made in heaven. I use a mix of wild and regular white or cremini mushrooms for this, but don’t hesitate to make it if regular mushrooms are all that is available.

 

1/2 ounce (about 1/2 cup) dried porcini mushrooms

2 tablespoons extra virgin olive oil

1/2 medium onion or 2 shallots, chopped

2 garlic cloves, minced

1 pound mixed regular and wild mushrooms or 1 pound regular white or cremini mushrooms, trimmed and cut in thick slices (or torn into smaller pieces, depending on the type of mushroom)

Salt and freshly ground pepper

1/4 cup fruity red wine, such as a Côtes du Rhone or Côtes du Luberon

2 teaspoons chopped fresh thyme or a combination of thyme and rosemary

6 ounces baby spinach or 12 ounces bunch spinach (1 bunch), stemmed and thoroughly cleaned

3/4 pound penne

Freshly grated Parmesan to taste

 

1. Place the dried mushrooms in a Pyrex measuring cup and pour on 2 cups boiling water. Let soak 30 minutes, while you prepare the other ingredients. Place a strainer over a bowl, line it with cheesecloth or paper towels, and drain the mushrooms. Squeeze the mushrooms over the strainer to extract all the flavorful juices. Then rinse the mushrooms, away from the bowl with the soaking liquid, until they are free of sand. Squeeze dry and set aside. If very large, chop coarsely. Measure out 1 cup of the soaking liquid and set aside.

2. Heat the olive oil in a large, heavy, nonstick skillet over medium heat and add the onion or shallots. Cook, stirring often, until tender, about 5 minutes. Turn up the heat to medium-high and add the fresh mushrooms. Cook, stirring often, until they begin to soften and sweat, about 5 minutes. Add the garlic and salt to taste, stir together for about 30 seconds, then add the reconstituted dried mushrooms and the wine and turn the heat to high. Cook, stirring, until the liquid boils down and glazes the mushrooms. Add the herbs and the mushroom soaking liquid. Bring to a simmer, add salt to taste, and cook over medium-high heat, stirring often, until the mushrooms are thoroughly tender and fragrant. Turn off the heat, stir in some freshly ground pepper, taste and adjust salt.

3. Bring a large pot of water to a boil and salt generously. Fill a bowl with ice water. Add the spinach to the boiling water and blanch for 20 seconds only. Remove with a skimmer and transfer to the ice water, then drain and squeeze out water. Chop coarsely and add to the mushrooms. Reheat gently over low heat.

4. Bring the water back to a boil and cook the pasta al dente following the timing suggestions on the package. If there is not much broth in the pan with the mushrooms and spinach, add a ladleful of pasta water. Drain the pasta, toss with the mushrooms and spinach, add Parmesan to taste, and serve at once.

Yield: Serves 4

Advance preparation: The mushroom ragout will keep for 3 or 4 days in the refrigerator and tastes even better the day after you make it.

Nutritional information per serving: 437 calories; 9 grams fat; 1 gram saturated fat; 2 grams polyunsaturated fat; 5 grams monounsaturated fat; 0 milligrams cholesterol; 73 grams carbohydrates; 5 grams dietary fiber; 48 milligrams sodium (does not include salt to taste or Parmesan); 17 grams protein

​

Up Next: Spinach Gnocchi

 

Martha Rose Shulman is the author of “The Very Best of Recipes for Health.”

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6 shot within hours; 5 seriously hurt

Six people were hurt, five seriously, in shootings on the South and West sides late Monday.

Four of the injured were hurt in a single shooting on the Far South Side, and all four were taken to local hospitals in serious-to-critical condition, according to the Chicago Fire Department.

The shooting happened shortly before 7:30 p.m. in the 9400 block of South Justine Street, officials said.

A male shooter opened fire, striking four males as they walked down the sidewalk, Chicago Police Department News Affairs Officer Amina Greer said, citing preliminary information.

A 15-year-old boy and a 22-year-old man were taken to Advocate Christ Hospital in Oak Lawn, a 17-year old man was taken to Mount Sinai Hospital and a 19-year-old man was taken to John H. Stroger, Jr. Hospital of Cook County, police said.

The 15-year-old was shot in the abdomen, and the 17-year-old was shot in the chest, police said.

The other two men were shot multiple times.

Police said the condition of each was stabilized at the hospital.

The shooting happened in the Brainerd neighborhood.

About 9:05 p.m., a 19-year-old man was shot in the head in the West Side's University Village neighborhood, police said. 

The man was taken to Stroger in serious condition from the 1200 block of West Washburne Avenue , Zala said.

Earlier Monday evening, a 37-year-old man was shot in the leg and back in the South Side's Gresham neighborhood, police said.

The shooting happened in the 700 block of West 81st Street about 5:50 p.m., Zala said. The man was taken to an area hospital, where his condition was stabilized.

Check back for more information.

chicagobreaking@tribune.com

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‘Hobbit’ holds on at $36.9M, ‘Reacher’ does $15.6M

LOS ANGELES (AP) — “The Hobbit: An Unexpected Journey” easily defended its box-office title, remaining the No. 1 film for a second weekend with $ 36.9 million.

A rush of newcomers mostly had modest openings, led by Tom Cruise‘s action tale “Jack Reacher” at No. 2 with $ 15.6 million.

The top 20 movies at U.S. and Canadian theaters Friday through Sunday, followed by distribution studio, gross, number of theater locations, average receipts per location, total gross and number of weeks in release, as compiled Monday by Hollywood.com are:

1. “The Hobbit: An Unexpected Journey,” Warner Bros., $ 36,940,000, 4,100 locations, $ 9,010 average, $ 150,093,000, two weeks.

2. “Jack Reacher,” Paramount, $ 15,600,000, 3,352 locations, $ 4,654 average, $ 15,600,000, one week.

3. “This Is 40,” Universal, $ 12,030,690, 2,913 locations, $ 4,130 average, $ 12,030,690, one week.

4. “Rise of the Guardians,” Paramount, $ 5,900,000, 3,031 locations, $ 1,947 average, $ 79,694,000, five weeks.

5. “Lincoln,” Disney, $ 5,525,774, 2,293 locations, $ 2,410 average, $ 116,673,598, seven weeks.

6. “The Guilt Trip,” Paramount, $ 5,390,000, 2,431 locations, $ 2,217 average, $ 7,421,000, one week.

7. “Monsters, Inc.” in 3-D, Disney, $ 4,774,686, 2,618 locations, $ 1,824 average, $ 6,259,667, one week.

8. “Skyfall,” Sony, $ 4,700,000, 2,365 locations, $ 1,987 average, $ 279,972,000, seven weeks.

9. “Life of Pi,” Fox, $ 4,017,237, 1,750 locations, $ 2,296 average, $ 76,373,481, five weeks.

10. “The Twilight Saga: Breaking Dawn — Part 2,” Summit, $ 2,626,955, 2,000 locations, $ 1,313 average, $ 281,632,689, six weeks.

11. “Cirque du Soleil: Worlds Away,” Paramount, $ 2,135,000, 840 locations, $ 2,542 average, $ 2,254,000, one week.

12. “Wreck-It Ralph,” Disney, $ 1,819,036, 1,444 locations, $ 1,260 average, $ 171,741,561, eight weeks.

13. “Silver Linings Playbook,” Weinstein Co., $ 1,781,196, 371 locations, $ 4,801 average, $ 19,861,238, six weeks.

14. “Dabangg 2,” Eros International, $ 1,019,213, 166 locations, $ 6,140 average, $ 1,019,213, one week.

15. “Argo,” Warner Bros., $ 903,000, 450 locations, $ 2,007 average, $ 106,439,000, 11 weeks.

16. “Red Dawn,” Film District, $ 794,880, 1,011 locations, $ 786 average, $ 42,626,783, five weeks.

17. “Flight,” Paramount, $ 709,000, 742 locations, $ 956 average, $ 90,989,000, eight weeks.

18. “Anna Karenina,” Focus, $ 667,669, 331 locations, $ 2,017 average, $ 9,645,583, six weeks.

19. “Hitchcock,” Fox Searchlight, $ 579,676, 535 locations, $ 1,084 average, $ 4,194,968, five weeks.

20. “Playing for Keeps,” Film District, $ 424,105, 851 locations, $ 498 average, $ 12,410,463, three weeks.

___

Online:

http://www.hollywood.com

___

Universal and Focus are owned by NBC Universal, a unit of Comcast Corp.; Sony, Columbia, Sony Screen Gems and Sony Pictures Classics are units of Sony Corp.; Paramount is owned by Viacom Inc.; Disney, Pixar and Marvel are owned by The Walt Disney Co.; Miramax is owned by Filmyard Holdings LLC; 20th Century Fox and Fox Searchlight are owned by News Corp.; Warner Bros. and New Line are units of Time Warner Inc.; MGM is owned by a group of former creditors including Highland Capital, Anchorage Advisors and Carl Icahn; Lionsgate is owned by Lions Gate Entertainment Corp.; IFC is owned by AMC Networks Inc.; Rogue is owned by Relativity Media LLC.

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News Analysis: Getting Polio Campaigns Back on Track

How in the world did something as innocuous as the sugary pink polio vaccine turn into a flash point between Islamic militants and Western “crusaders,” flaring into a confrontation so ugly that teenage girls — whose only “offense” is that they are protecting children — are gunned down in the streets?

Nine vaccine workers were killed in Pakistan last week in a terrorist campaign that brought the work of 225,000 vaccinators to a standstill. Suspicion fell immediately on factions of the Pakistani Taliban that have threatened vaccinators in the past, accusing them of being American spies.

Polio eradication officials have promised to regroup and try again. But first they must persuade the killers to stop shooting workers and even guarantee safe passage.

That has been done before, notably in Afghanistan in 2007, when Mullah Muhammad Omar, spiritual head of the Afghan Taliban, signed a letter of protection for vaccination teams. But in Pakistan, the killers may be breakaway groups following no one’s rules.

Vaccination efforts are also under threat in other Muslim regions, although not this violently yet.

In Nigeria, another polio-endemic country, the new Islamic militant group Boko Haram has publicly opposed it, although the only killings that the news media have linked to polio were those of two police officers escorting vaccine workers. Boko Haram has killed police officers on other missions, unrelated to polio vaccinations.

In Mali, extremists took over half of the country in May, declaring an Islamic state. Vaccination is not an issue yet, but Mali had polio cases as recently as mid-2011, and the virus sometimes circulates undetected.

Resistance to polio vaccine springs from a combination of fear, often in marginalized ethnic groups, and brutal historical facts that make that fear seem justified. Unless it is countered, and quickly, the backlash threatens the effort to eradicate polio in the three countries where it remains endemic: Pakistan, Afghanistan and Nigeria.

In 1988, long before donors began delivering mosquito nets, measles shots, AIDS pills, condoms, deworming drugs and other Western medical goods to the world’s most remote villages, Rotary International dedicated itself to wiping out polio, and trained teams to deliver the vaccine.

But remote villages are often ruled by chiefs or warlords who are suspicious not only of Western modernity, but of their own governments.

The Nigerian government is currently dominated by Christian Yorubas. More than a decade ago, when word came from the capital that all children must swallow pink drops to protect them against paralysis, Muslim Hausas in the far-off north could be forgiven for reacting the way the fundamentalist Americans of the John Birch Society did in the 1960s when the government in far-off Washington decreed that, for the sake of children’s teeth, all drinking water should have fluoride.

The northerners already had grievances. In 1996, the drug company Pfizer tested its new antibiotic, Trovan, during a meningitis outbreak there. Eleven children died. Although Pfizer still says it was not to blame, the trial had irregularities, and last year the company began making payments to victims.

Other rumors also spring from real events.

In Pakistan, resistance to vaccination, low over all, is concentrated in Pashtun territory along the Afghan border and in Pashtun slums in large cities. Pashtuns are the dominant tribe in Afghanistan but a minority in Pakistan among Punjabis, Sindhis, Baluchis and other ethnic groups. Many are Afghan refugees and are often poor and dismissed as medieval and lawless.

Pakistan’s government is friendly with the United States while the Pashtuns’ territory in border areas has been heavily hit by American Taliban-hunting drones, which sometimes kill whole families.

So, when the Central Intelligence Agency admitted sponsoring a hepatitis vaccination campaign as a ruse to get into a compound in Pakistan to confirm that Osama bin Laden was there, and the White House said it had contemplated wiping out the residence with a drone missile, it was not far-fetched for Taliban leaders to assume that other vaccinators worked for the drone pilots.

Even in friendly areas, the vaccine teams have protocols that look plenty suspicious. If a stranger knocked on a door in Brooklyn, asked how many children under age 5 were at home, offered to medicate them, and then scribbled in chalk on the door how many had accepted and how many refused — well, a parent might worry.

In modern medical surveys — though not necessarily on polio campaigns — teams carry GPS devices so they can find houses again. Drones use GPS coordinates.

The warlords of Waziristan made the connection specific, barring all vaccination there until Predator drones disappeared from the skies.

Dr. Bruce Aylward, a Canadian who is chief of polio eradication for the World Health Organization, expressed his frustration at the time, saying, “They know we don’t have any control over drone strikes.”

The campaign went on elsewhere in Pakistan — until last week.

The fight against polio has been hampered by rumors that the vaccine contains pork or the virus that causes AIDS, or is a plot to sterilize Muslim girls. Even the craziest-sounding rumors have roots in reality.

The AIDS rumor is a direct descendant of Edward Hooper’s 1999 book, “The River,” which posited the theory — since discredited — that H.I.V. emerged when an early polio vaccine supposedly grown in chimpanzee kidney cells contaminated with the simian immunodeficiency virus was tested in the Belgian Congo.

The sterilization claim was allegedly first made on a Nigerian radio station by a Muslim doctor upset that he had been passed over for a government job. The “proof” was supposed to be lab tests showing it contained estrogen, a birth control hormone.

The vaccine virus is grown in a broth of live cells; fetal calf cells are typical. They may be treated with a minute amount of a digestive enzyme, trypsin — one source of which is pig pancreas, which could account for the pork rumor.

In theory, a polio eradicator explained, if a good enough lab tested the vaccine used at the time the rumor started, it might have detected estrogen from the calf’s mother, but it would have been far less estrogen than is in mother’s milk, which is not accused of sterilizing anyone. The trypsin is supposed to be washed out.

In any case, polio vaccine is now bought only from Muslim countries like Indonesia, and Muslim scholars have ruled it halal — the Islamic equivalent of kosher.

Reviving the campaign will mean quelling many rumors. It may also require adding other medical “inducements,” like deworming medicine, mosquito nets or vitamin A, whose immediate benefits are usually more obvious.

But changing mind-sets will be a crucial step, said Dr. Aylward, who likened the shootings of the girls to those of the schoolchildren in Newtown, Conn.

More police involvement — what he called a “bunkerized approach” — would not solve either America’s problem or Pakistan’s, he argued. Instead, average citizens in both countries needed to rise up, reject the twisted thinking of the killers and “generate an understanding in the community that this kind of behavior is not acceptable.”

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Rumored iPad 5 to be thinner

By Chris O'Brien

1:03 p.m. CST, December 24, 2012

That iPad 3 you got last March? Forget it. It's like the eight-track tape  of tablets. (Kids: Ask your parents what that means.) Even that iPad 4 you're about to unwrap Christmas morning that you think is so darn new is about to become yesterday's news. 

At least, that is, if the latest iPad rumors are true. According to the Japanese blog Macotakara, the next iPad is due to hit in March. At which time, all previous versions of the iPad will feel like bricks.

QUIZ: What set the Internet on fire in 2012? 

The site reports that the fifth version of the iPad will be thinner and lighter than the last iPad. For those of you hoping that Apple's next version of the iPad would be heavier and clunkier, this is no doubt crushing news.

For the rest of the planet, however, this is pretty much what you'd expect from Apple. Macotakara says its sources say the next iPad will be 2 millimeters thinner and 17 millimeters narrower. 

If true, it marks a continuation of the accelerated product update cycle that kicked into gear this past year under Apple CEO Tim Cook. 

According to 9to5Mac.com, if the dimensions are correct, "The new supposed thinness would mean the next iPad is nearly as thin as the 7.2mm thin iPad mini."

Speaking of the Mini, Macotakara reports that Apple is cooking up a retina screen for the next iPad mini. 

Here's the real thing iPad owners need to fear: How long will Apple continue to support those older iPads? It already doesn't let owners of the first iPad download new versions of iOS. 

ALSO: 

Yelp's new weapon against fake reviews: User alerts

Google Maps returns to iPhone; iPad app coming soon

Scam watch: Fake news sites, smartphone viruses, BBB scam stopper

Follow me on Twitter @obrien.

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Bears alive, but need help heading into final Sunday

The defensive end after the Bears beat the Cardinals 28-13 on Sunday.

GLENDALE, Ariz. — They're alive.

Only because they faced an offense far more disjointed than their own were the Bears able to withstand another lethargic start. Jump-started by two defensive touchdowns — their first since Week 9 — the Bears trounced the woeful Cardinals on Sunday at University of Phoenix Stadium.

The 28-13 victory improved the Bears to 9-6 and kept them in the NFC playoff race. They need to win the regular-season finale against the Lions in Detroit on Sunday and have the Packers defeat the Vikings at the Metrodome to claim a wild-card spot. The Bears have won eight of their last nine vs. the Lions, who will look to be a spoiler while trying to get wide receiver Calvin Johnson 2,000 yards on the season. He needs 108.

The Packers will be motivated against the Vikings with a first-round bye and the No. 2 seed in the NFC on the line.

"I've always been a big Packers fan," Bears coach Lovie Smith said. "It's not hard at all for me. We have a tough division, but as we said this week, we can't do much about that. All we can do is get a win against Detroit."

Reserve cornerback Zack Bowman, playing against the Cardinals' heavy package, recovered a fumble by Beanie Wells for the first score of the game and Charles Tillman returned an interception 10 yards for a touchdown in the third quarter, the Bears' ninth defensive touchdown of the season, leaving them one behind the 1998 Seahawks for the most in NFL history.

Those plotting an end to the Smith era have to hold on now. Most consider it unlikely the Bears will have a housecleaning project under general manager Phil Emery if the club reaches the playoffs. Emery has spoken publicly only once since the season began, during the off week.

But the Bears are not going to go anywhere in the postseason if the offense doesn't find a level of consistency. Running back Matt Forte once again is nursing a right ankle injury as he was knocked out of the game in the third quarter after carrying 12 times for 88 yards, including a 4-yard touchdown. Wearing a walking boot afterward, he declared he would play against the Lions, but it is too early to know.

"With running lanes like that, you can make moves in the open field and get extra yards," Forte said. "It is unfortunate I had to leave the game, but I felt like we were really starting to roll in the running game."

Quarterback Jay Cutler missed on 10 of his first 11 passes, yet the Bears took a 14-3 lead while he was misfiring. Cutler put together a nice drive at the end of the second quarter, firing an 11-yard touchdown pass to Brandon Marshall, but that was about it for rhythm in the passing game. He finished 12 of 26 for 146 yards, but he didn't turn the ball over.

"It wasn't pretty," Cutler said. "I thought the offensive line did a great job. I missed a lot of throws."

Cardinals quarterback Ryan Lindley was benched for Brian Hoyer after the Tillman interception and the Cardinals struggled moving the ball at all, converting only three of 15 third downs. Julius Peppers had a season-high three sacks to give him 111/2, his most in three seasons with the Bears. The biggest play for the Cardinals was Justin Bethel's 82-yard return of a blocked Olindo Mare field-goal attempt.

So, the Bears, thanks in part to the Ravens' victory against the Giants on Sunday, have a chance as they prepare for the Lions. No one knew how they would respond after losing five of their previous six games. Their mantra has been that the playoffs already have started. That is why it wasn't surprising to hear the hollering through the cinder-block walls of the locker room afterward.

"We feel like we have new life," said cornerback Tim Jennings, who returned after missing two games with a dislocated right shoulder. "We forgot what it felt like to be in the win column."

The last time the Bears won in Arizona during the regular season, then-Cardinals coach Denny Green said to "crown their ass!" No one is going to crown these Bears, but they can't be written off either.

"We need some help," Marshall said. "But the only thing we can control is going out there and playing against the Lions."

bmbiggs@tribune.com

Twitter @BradBiggs

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RIM shares fall at the open after earnings

TORONTO (Reuters) – Research In Motion Ltd fell in early trading on Friday following the BlackBerry maker’s Thursday earnings announcement, when the company outlined plans to change the way it charges for services.

RIM, pushing to revive its fortunes with the launch of its new BlackBerry 10 devices next month, surprised investors when it said it plans to alter its service revenue model, a move that could put the high-margin business under pressure.

Shares fell 16.0 percent to $ 11.86 in early trading on the Nasdaq. Toronto-listed shares fell 15.8 percent to C$ 11.74.

(Reporting by Allison Martell; Editing by Gerald E. McCormick)

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Bethenny Frankel and husband of 2 years separating

LOS ANGELES (AP) — Bethenny Frankel and husband Jason Hoppy are separating.

The 42-year-old TV personality, chef, author and entrepreneur told The Associated Press Sunday that the split brings her “great sadness.”

“This was an extremely difficult decision that as a woman and a mother, I have to accept as the best choice for our family,” Frankel said. “We have love and respect for one another and will continue to amicably co-parent our daughter who is and will always remain our first priority. This is an immensely painful and heartbreaking time for us.”

Frankel and Hoppy were married in 2010 and have a daughter, Bryn, who was born that same year. The couple’s courtship and marriage were documented in two reality series, “Bethenny Getting Married?” and “Bethenny Ever After…” Frankel gained fame as a star of “The Real Housewives of New York City.” Since her stint on the Bravo show, she has written four books, released a fitness video and founded her Skinnygirl line of cocktails, shapewear and nutritional supplements.

She launched a talk show, “Bethenny,” over the summer that is set to air nationally on Fox stations in 2013.

___

AP Entertainment Writer Sandy Cohen is on Twitter: www.twitter.com/APSandy .

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N.Y.U. and Others Offer Shorter Courses Through Medical School

Training to become a doctor takes so long that just the time invested has become, to many, emblematic of the gravity and prestige of the profession.

But now one of the nation’s premier medical schools, New York University, and a few others around the United States are challenging that equation by offering a small percentage of students the chance to finish early, in three years instead of the traditional four.

Administrators at N.Y.U. say they can make the change without compromising quality, by eliminating redundancies in their science curriculum, getting students into clinical training more quickly and adding some extra class time in the summer.

Not only, they say, will those doctors be able to hang out their shingles to practice earlier, but they will save a quarter of the cost of medical school — $49,560 a year in tuition and fees at N.Y.U., and even more when room, board, books, supplies and other expenses are added in.

“We’re confident that our three-year students are going to get the same depth and core knowledge, that we’re not going to turn it into a trade school,” said Dr. Steven Abramson, vice dean for education, faculty and academic affairs at N.Y.U. School of Medicine.

At this point, the effort involves a small number of students at three medical schools: about 16 incoming students at N.Y.U., or about 10 percent of next year’s entering class; 9 at Texas Tech Health Science Center School of Medicine; and even fewer, for now, at Mercer University School of Medicine’s campus in Savannah, Ga. A similar trial at Louisiana State University has been delayed because of budget constraints.

But Dr. Steven Berk, the dean at Texas Tech, said that 10 or 15 other schools across the country had expressed interest in what his university was doing, and the deans of all three schools say that if the approach works, they will extend the option to larger numbers of students.

“You’re going to see this kind of three-year pathway become very prominent across the country,” Dr. Abramson predicted.

The deans say that getting students out the door more quickly will accomplish several goals. By speeding up production of physicians, they say, it could eventually dampen a looming doctor shortage, although the number of doctors would not increase unless the schools enrolled more students in the future.

The three-year program would also curtail student debt, which now averages $150,000 by graduation, and by doing so, persuade more students to go into shortage areas like pediatrics and internal medicine, rather than more lucrative specialties like dermatology.

The idea was supported by Dr. Ezekiel J. Emanuel, a former health adviser to President Obama, and a colleague, Victor R. Fuchs. In an editorial in the Journal of the American Medical Association in March, they said there was “substantial waste” in the nation’s medical education. “Years of training have been added without evidence that they enhance clinical skills or the quality of care,” they wrote. They suggested that the 14 years of college, medical school, residency and fellowship that it now takes to train a subspecialty physician could be reduced by 30 percent, to 10 years.

That opinion, however, is not universally held. Other experts say that a three-year medical program would deprive students of the time they need to delve deeply into their subjects, to consolidate their learning and to reach the level of maturity they need to begin practicing, while adding even more pressure to a stressful academic environment.

“The downside is that you are really tired,” said Dr. Dan Hunt, co-secretary of the Liaison Committee on Medical Education, the accrediting agency for medical schools in the United States and Canada. But because accreditation standards do not dictate the fine points of curriculum, the committee has approved N.Y.U.’s proposal, which exceeds by five weeks its requirement that schools provide at least 130 weeks of medical education.

The medical school is going ahead with its three-year program despite the damage from Hurricane Sandy, which forced NYU Langone Medical Center to evacuate more than 300 patients at the height of the storm and temporarily shut down three of its four main teaching hospitals.

Dr. Abramson of N.Y.U. said that postgraduate training, which typically includes three years in a hospital residency, and often fellowships after that, made it unnecessary to try to cram everything into the medical school years. Students in the three-year program will have to take eight weeks of class before entering medical school, and stay in the top half of their class academically. Those who do not meet the standards will revert to the four-year program.

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