Invited Commentary

Commentary on "Time to Dedifferentiate"

Authors: Irene Alexandraki, MD, MPH

Abstract

Medical education has continued to evolve since the Flexner report was published more than 100 years ago. Perpetual changes in the healthcare delivery system and societal expectations for high quality in both medical training and practice have led to a reform in medical education. A snapshot of medical education in the United States in 2010 highlighted the advances in pedagogy and the curricular redesign that have been occurring.1 Clinical experiences have become a point of significant change. In most medical schools, clinical experiences are integrated with basic sciences and delivered longitudinally in the curriculum, beginning early in the first year. Moreover, the increase in medical school enrollment, along with the establishment of new medical schools in recent years call for an expansion in the number of available clinical sites and highlight the need for a larger cadre of skillful clinician-educators.1

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