Development of singing ability in children is well documented and frequently fraught with admonitions to postpone formal training until the age of 17 or 18 years for boys and 16 years for girls, when voice change is usually complete and the risk for damaging developing structures is minimal. The author contends that the interval of voice mutation, a time of rapid physical change, is precisely the period when the young singer should pursue human musical instrument training under tutelage of singing teachers knowledgeable and experienced in the training techniques described herein and with the guidance of an otorhinolaryngologist to evaluate and monitor fitness. Voice mutation is viewed as a natural process of maturation, which can be enhanced by a formal training program.
258 The challenges of creating a fellowship in gynecologic oncology in mozambique, a country with no formal training program in gynecologic oncology