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THERE ARE two fundamental questions concerning medical education: Who is making the major decisions about medical education and how are these decisions being reached? Most of us have ready answers for both questions. We believe that the profession itself has always guided medical education, and we can name a host of councils, liaison committees, associations, and federations that represent the leadership in the field. In answer to the second question, most of us would defend the idea that decisions are arrived at through a process that involves a continuing and thorough assessment of the state of the education system, the quality of its product, and the needs of society. In essence, we would say that medical education is in the hands of the profession and that the profession is exercising this responsibility with great care. The trouble is that these answers are wrong. They assume a stewardship of medical education
JAMA – American Medical Association
Published: Jun 9, 1978
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