Medical school make-over

When the history of the 20th century is written, the chapter dealing with medical education will note that perhaps the 2 biggest factors affecting academic medicine occurred as the century was just getting under way and as it was winding down. First was the Flexner Report of 1910 that established the current system of medical education. Then came the 1990s and the emergence of managed care that is changing the way medical school administrators think, the way they run their schools, and the way they teach future generations of physicians.