William B. Deal, MD
JAMA. 1987;258(16):2296-2297. doi:10.1001/jama.1987.03400160150048.
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Medical education continues to be dynamic and ever changing. The process, however, is under critical review and unrelenting pressure to adapt new technology and develop compassion in students, while being restricted to only four years of medical school. Educating young people today who will practice medicine in the future requires constant infusion of new ideas and methodologies to meet this challenge.

In 1982, the American Medical Association's Council on Medical Education reviewed undergraduate medical education and issued a comprehensive report entitled Future Directions for Medical Education.1 In late 1984, the Association of American Medical Colleges issued a report entitled Physicians for the Twenty-First Century.2 Both reports made recommendations about medical education that have served as stimuli for discussion in this nation's 127 medical schools. Emanating from the discussions held across the country, several important issues have begun to emerge as definitive new developments.

First is the increasing use


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