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Published on: December 19, 2014
Curricular Transformation: The Case Against Global Change
Jeffrey M Borkan1, Paul George, Allan R Tunkel
1J.M. Borkan is assistant dean for primary care-population medicine and chair of family medicine, The Warren Alpert Medical School of Brown University, Providence, Rhode Island; ORCID: https://orcid.org/0000-0003-1385-4737. P. George is assistant dean for medical education, director of clinical curriculum, and associate professor of family medicine, The Warren Alpert Medical School of Brown University, Providence, Rhode Island; ORCID: http://orcid.org/0000-0001-7433-9099. A.R. Tunkel is associate dean for medical education and professor of medicine, The Warren Alpert Medical School of Brown University, Providence, Rhode Island.
Abstract:
In this Commentary, the authors make the case for medical schools to pursue more circumscribed solutions to curricular redesign for undergraduate medical education rather than whole system changes-at least as first steps and perhaps as ultimate solutions. Although they focus primarily on the experience at the Warren Alpert Medical School of Brown University (AMS), they believe that the insights gleaned from their experiences are generalizable to other innovations and other medical schools. The authors describe the implementation of the Primary Care-Population Medicine track at AMS as a working example of implementing circumscribed rather than global change, and they discuss the advantages and disadvantages of such an approach to curriculum transformation.
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