Author Affiliations: Department of Clinical Bioethics, The Clinical Center, National Institutes of Health, Bethesda, Md.
A century ago, the American Medical Association created the Council on Medical Education and published the first minimal standards for medical schools and an ideal medical curriculum. Then, the Carnegie Foundation for the Advancement of Teaching funded an evaluation of medical school performance titled Medical Education in the United States and Canada (the Flexner report).1 While many objected to its highly critical tone, most medical educators endorsed it and implemented significant change.2 A major consequence was that the already fading practice-oriented proprietary schools finally died, while medical education was divided into preclinical science training and hospital-based clinical training.
Emanuel EJ. Changing Premed Requirements and the Medical Curriculum. JAMA. 2006;296(9):1128-1131. doi:10.1001/jama.296.9.1128