Patients have always had a role in the education of physicians. In recent years, there has been a shift into a more active role.1 The change has been especially pronounced in the aftermath of the Institute of Medicine (IOM) report, To Err Is Human.2 When it was released in 2000, patients' experiences of adverse events were reported in the media. The stories put a human face on the estimates of harm noted in the IOM report. The invisible became visible. The stories created needed urgency for improvement.