Author Affiliations: Ms Breedlove is Associate Editor, JAMA, and Dr Hedrick is Director, Division of Medical Education Products, American Medical Association, Chicago, Ill.
Kenneth Ludmerer, MD, has persuasively argued in his landmark new book, Time to
Heal,1 that medical
education is in the beginning stage of a second revolution. He views the 1990s
as a "prerevolutionary" stage, marked by "unrest, turbulence, and the disintegration
of existing institutions, but not yet by a new platform or model." The 20th
century as a whole, he believes, will be remembered as a time of abundance
in medicine, compared with the increasing resource constraints physicians
already face in trying to meet the needs of a growing and more diverse population,
a larger elderly population, and more people living longer with chronic disease.
Breedlove C, Hedrick H. Reenvisioning Medical Education for the New MillenniumCall for Papers. JAMA. 1999;282(22):2171. doi:10.1001/jama.282.22.2171