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January 29, 1973

Undergraduate Medical Education

Author Affiliations

San Mateo, Calif

JAMA. 1973;223(5):558. doi:10.1001/jama.1973.03220050058025

To the Editor.—  I write in support of Dr. Rosinski's recommended revision of undergraduate medical education (222:473, 1972).In 1968,I made a similar proposal.1 In essence, I indicated that the undergraduate medical curriculum was failing because it was trying to do too many things at one and the same time. It aimed to produce excellent physicians at two levels—family practitioners (Dr. Rosinski's "medical practitioners") and well-trained "graduates" for the specialty-residency programs ("medical clinicians"). In addition, I indicated that medical schools were aiming to produce men and women who are highly motivated to careers in research ("medical scientists").I agree with him entirely that there needs to be a redefinition of the goals of our medical schools. My solution was to increase the enrolling class and give all students a two-year study of the basic sciences along the lines he suggested. At the end of the second year, the group