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May 10, 2000

Sustaining Change in Medical Education

Author Affiliations

Author Affiliations: Center for the Assessment and Management of Change in Academic Medicine (Dr Griner), and Division of Medical Education (Dr Danoff), Association of American Medical Colleges, Washington, DC.

JAMA. 2000;283(18):2429-2431. doi:10.1001/jama.283.18.2429

Medical education faces 3 major challenges: evolving education in response to a changing society, eroding clinical dollars to support education with pressure on clinicians to increase productivity, and lack of support for teaching efforts. Changes in both the content and process of medical education are influenced by multiple factors. Of utmost importance in directing changes in the training of physicians is a commitment to respond to societal needs and expectations.

Medical schools are seeking input from patients, their families, and the community at large to identify concerns and new directions.1 At the same time, changes in curriculum, particularly in undergraduate medical education, are being examined to determine if these changes reflect those identified needs and expectations.2 Thus, we must consider not only what is taught, but also how, where, and why.