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September 7, 2011

Orchestrating Excellence

Author Affiliations

Author Affiliation: Dr Golub is Deputy Editor, JAMA (robert.golub@jama-archives.org).

JAMA. 2011;306(9):999-1000. doi:10.1001/jama.2011.1274

If you hold a cat by the tail you learn things you cannot learn any other way.—Mark Twain

Like many human endeavors, medical education is replete with assumptions that have not been adequately tested. This is due in part to the challenges of using the scientific method—creating models and study designs to isolate variables—or finding metrics that truly capture the important outcomes. It also may be a result of implicit notions that such research cannot be done; that the answers are self-evident; or perhaps that this type of work is not needed, valuable, or worth supporting.

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