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Paul F. Griner, MD; Deborah Danoff, MD

JAMA. 2000;283:2429-2431.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

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.

Challenges

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.

At medical schools throughout the country, a historical focus on lectures and . . . [Full Text of this Article]

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.

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