THE SCIENCES OF CLINICAL-PRACTICE

The Robert Wood Johnson Commission on Medical Education focused on evidence that, in the midst of the genetic revolution in medicine, medical students all too often are not engaged by the science component of their education. Medical education is being driven by social as well as these intellectual forces to make fundamental changes. In the USA, the rich array of scientific talent can be used more effectively, and there is a new significance for the behavioural, social, probabilistic, and information sciences. The Report discusses the general changes under way in the USA and includes examples from the eight schools in the Robert Wood Johnson Foundation's Preparing Physicians for the Future: A Program in Medical Education. Another report explores the reasons why the general changes under way in North American medical education are difficult to bring about. Educating Medical Students is the report of the Assessing Change in Medical Education: The Road to Implementation (ACME‐TRI) project of the Association of American Medical Colleges. This project, funded by the Charles E. Culpeper Foundation, explored the recurring problems in medical students’ education that have been reported from the 1930s. The ACME‐TRI report documents that most medical schools have not solved these recurring problems, summarizes the schools’ views of the barriers to solving these problems, and identifies strategies to assist schools in overcoming or minimizing the barriers they have identified. Together, the Robert Wood Johnson Commission report and the ACME‐TRI report provide a context in which to consider the complex issues facing medical education in the 21st century. 1994 Blackwell Publishing