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March 1991

Skepticism About Loss of Skepticism!-Reply

Author Affiliations

Worcester, Mass

Arch Intern Med. 1991;151(3):612-616. doi:10.1001/archinte.1991.00400030140029

In Reply. —  We welcome Dr Prichard's constructive critique of our editorial1 calling for reform of the medical curriculum and the National Board examinations. It is our hope that the ensuing dialogue will represent one of the first steps toward correcting what we see as serious problems and deficiencies in the current system.We would be the first to admit that there are no "hard data" to cite for either side in this debate. Our editorial was based on observations made during many years of teaching at our respective medical schools. It may well be that the first step in reforming medical education in the United States should be the collection of some objective information on which to base recommendations concerning the content of the proposed new curriculum for American medical education in the 21st century. However, such information is not easily obtained or quantified. How does one measure