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Curricular change: recommendations from a national perspective.

S Wartman1, A Davis, M Wilson

  • 1Executive Vice President for Academic and Health Affairs, University of Texas Health Sciences Center-San Antonio, 7703 Floyd Curl Drive, Mail Code 7770, San Antonio, TX 78229-3900, USA. wartman@uthscsa.edu

Academic Medicine : Journal of the Association of American Medical Colleges
|April 12, 2001
PubMed
Summary

Future medical education innovations require strategic funding and organizational structures. The Interdisciplinary Generalist Curriculum (IGC) Project highlights the need for long-term support and clear roles in curricular reform.

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Area of Science:

  • Medical Education
  • Curriculum Development
  • Interdisciplinary Studies

Background:

  • The Interdisciplinary Generalist Curriculum (IGC) Project addressed complex challenges in medical education.
  • Developing innovative curricula requires careful consideration of funding, organization, and long-term impact.

Purpose of the Study:

  • To provide recommendations for future directions in medical education based on the IGC Project.
  • To outline optimal strategies for funding, organizational structure, and curricular design in medical schools.

Main Methods:

  • Analysis of findings from the Interdisciplinary Generalist Curriculum (IGC) Project.
  • Formulation of recommendations for demonstration projects, funding mechanisms, and institutional integration.

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Main Results:

  • Recommended demonstration projects funded via contracting, emphasizing institutional leverage and influence.
  • Advocated for funding periods aligned with program impact and outcome measurement.
  • Stressed the need for explicit roles for oversight committees, executive/advisory bodies, and funders.

Conclusions:

  • Medical schools should implement longitudinal generalist preceptorships early in education.
  • Curricular innovations in preclinical years necessitate adjustments in clinical training.
  • Effective implementation requires clear governance, explicit roles, and sustained, strategic funding.