This Article  • References  • Full text PDF  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Citation map  • Citing articles on HighWire  • Citing articles on Web of Science (73)  • Contact me when this article is cited  Related Content  • Similar articles in JAMA  Social Bookmarking   What's this?

Joel C. Cantor, ScD; Alan B. Cohen, ScD; Dianne C. Barker, MHS; Annie Lea Shuster; Richard C. Reynolds, MD

JAMA. 1991;265(8):1002-1006.

Abstract
To determine whether medical educators perceive a need for change in medical student education, we analyzed data from a 1989 survey of 1369 respondents from all US schools of allopathic medicine. Except for basic sciences faculty, a majority of educators stated that "fundamental changes" are needed in medical student education in the United States. Nearly three fourths of deans and associated deans reported the need for "fundamental changes" or "thorough reform." At least 79% of educators voiced support for six specific reforms, such as rewarding teaching excellence and increasing clinical education in ambulatory and community settings. While slight majorities supported reducing class size and centralizing governance, substantial proportions stated that they would "work against" such reforms. Most educators reported that a broad base of support within the school would be essential for change. The survey suggests a restlessness among the leaders of medical education.

(JAMA. 1991;265:1002-1006)

Author Affiliations
From the Office of Health Statistics and Analysis, The Robert Wood Johnson Foundation, Princeton, NJ.

Footnotes
Reprint requests to The Robert Wood Johnson Foundation, Office of Health Statistics and Analysis, PO Box 2316, Princeton, NJ 08543-2316 (Dr Cantor).

CiteULike    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter     What's this?

THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES

Introduction: Effectiveness of Continuing Medical Education: American College of Chest Physicians Evidence-Based Educational Guidelines
Moores et al.
Chest 2009;135:5S-7S.
FULL TEXT  

Change in Higher Education: Understanding and Responding to Individual and Organizational Resistance
Lane
jvme 2007;34:85-92.
ABSTRACT | FULL TEXT  

Promotion Criteria for Clinician-Educators in the United States and Canada: A Survey of Promotion Committee Chairpersons
Beasley et al.
JAMA 1997;278:723-728.
ABSTRACT  

Learning and Teaching in Dermatology: A Practitioner's Guide
Brodell et al.
Arch Dermatol 1996;132:946-952.
ABSTRACT  

The Similarity and Frequency of Proposals to Reform US Medical Education: Constant Concerns
Christakis
JAMA 1995;274:706-711.
ABSTRACT  

Preparedness for Practice: Young Physicians' Views of Their Professional Education
Cantor et al.
JAMA 1993;270:1035-1040.
ABSTRACT  

An Overview of Reform Initiatives in Medical Education: 1906 Through 1992
Enarson and Burg
JAMA 1992;268:1141-1143.
ABSTRACT  

The Robert Wood Johnson Foundation Commission on Medical Education: The Sciences of Medical Practice, Summary Report
Marston
JAMA 1992;268:1144-1145.
ABSTRACT  

A New Commission Report on Medical Education
Marston and Fletcher
ANN INTERN MED 1992;117:340-341.
ABSTRACT  

Medical Education Reform
Bhayani
JAMA 1991;265:3245-3245.
ABSTRACT  

Medical Education Reform
Witte and Witte
JAMA 1991;265:3245-3246.
ABSTRACT  

New Pathways for Medical Education
Tosteson
JAMA 1991;265:1022-1023.
ABSTRACT