Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2011:122:48-58.

Challenges and opportunities facing medical education

Affiliations

Challenges and opportunities facing medical education

Peter Densen. Trans Am Clin Climatol Assoc. 2011.

Abstract

Medical education is at a crossroads. Although unique features exist at the undergraduate, graduate, and continuing education levels, shared aspects of all three levels are especially revealing, and form the basis for informed decision-making about the future of medical education.This paper describes some of the internal and external challenges confronting undergraduate medical education. Key internal challenges include the focus on disease to the relative exclusion of behavior, inpatient versus outpatient education, and implications of a faculty whose research is highly focused at the molecular or submolecular level. External factors include the exponential growth in knowledge, associated technologic ("disruptive") innovations, and societal changes. Addressing these challenges requires decisive institutional leadership with an eye to 2020 and beyond--the period in which current matriculants will begin their careers. This paper presents a spiral-model format for a curriculum of medical education, based on disease mechanisms, that addresses many of these challenges and incorporates sound educational principles.

PubMed Disclaimer

Conflict of interest statement

Potential Conflicts of Interest: None disclosed.

Figures

Fig. 1
Fig. 1
Mechanisms of Disease Spiral Curriculum

References

    1. Cohen JJ, Hager M, Russell S. Revisiting the Medical School Mission at a Time of Expansion. New York: Josiah Macy, Jr. Foundation; 2009.
    1. Scientific Foundations for Future Physicians. Report of the AAMC/HHMI Committee. Washington, DC: Association of American Medical Colleges; 2009.
    1. Cooke M, Irby DM, O'Brien BC. Educating Physicians: A Call for Reform of Medical School and Residency. San Francisco, California: Jossey-Bass; 2010.
    1. Frenk J, Chen L, Bhutta ZA, et al. Health Professionals for a New Century: transforming education to strengthen health systems in an interdependent world. Lancet. 2010;376:1923–1958. - PubMed
    1. Ludmerer KM. New York: Oxford University Press; 1999. Time to Heal: American Education from the Turn of the Century to the Era of Managed Care.

LinkOut - more resources