Table of Contents

Foreword: On the Shoulders of Flexner v

Acknowledgments xiii

About the Authors xv

Introduction 1

Part One Today’s Practice, Yesterday’s Legacy, Tomorrow’s Challenges

1. Educating Physicians: Context and Challenges 11

2. Being a Doctor: Foundations of Professional Education 34

Part Two Learning the Physician’s Work

3. The Student’s Experience: Undergraduate Medical Education 75

4. The Resident’s Experience: Graduate Medical Education 113

Part Three External Pressures and Internal Forces for Change

5. Regulating and Financing Medical Education 163

6. Leadership for Organizational Change 189

Part Four Meeting Tomorrow’s Challenges: A Vision of the Possible

7. Realizing the Vision: Transforming Medical Education 213

8. Supporting Excellence Through Effective Policy 247

References 257

Name Index 285

Subject Index 293

About the Author

Molly Cooke codirected the Study of Medical Education at The Carnegie Foundation for the Advancement of Teaching. She is a professor of medicine and holds the William G. Irwin Endowed Chair at the University of California, San Francisco School of Medicine. David M. Irby codirected the Study of Medical Education at The Carnegie Foundation for the Advancement of Teaching. He is vice dean for education and a professor of medicine at the University of California, San Francisco School of Medicine, where he directs undergraduate, graduate, and continuing medical education programs and heads the Office of Medical Education. Bridget C. O'Brien is an assistant professor of medicine at the University of California, San Francisco School of Medicine and a researcher in the Office of Medical Education.