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American medical education has become sternly introspective and, for all I know, none too soon. At times it is positively spastic. Deans are harassed by demands for space, money, beds, teaching, research, with a groundswell of complaints from those in practice that doctors are getting "too scientific." I can look back over more generations of medical education than my contemporaries who are now teaching medicine, since I grew up in the family of a professor of anatomy who was also an MD, even then a bit unusual. Even discounting filial devotion, more or less inadvertently I was in a position to listen to all kinds of major and minor comments about teaching and learning medicine. I can say with conviction that my father's generation of teachers assumed that by virtue of having been appointed as teachers they knew what teaching was all about. They seemed to pay very little attention
Bean WB. Money and Medical Schools. Arch Intern Med. 1963;111(6):841–842. doi:https://doi.org/10.1001/archinte.1963.03620300161031
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