Journal of General Internal Medicine

, Volume 18, Issue 5, pp 370–376

Educational innovations in academic medicine and environmental trends

Innovations In Education And Clinical Practice

DOI: 10.1046/j.1525-1497.2003.21049.x

Cite this article as:
Irby, D.M. & Wilkerson, L. J GEN INTERN MED (2003) 18: 370. doi:10.1046/j.1525-1497.2003.21049.x


Fifteen educational innovations in academic medicine are described in relation to 5 environmental trends. The first trend, demands for increased clinical productivity, has diminished the learning environment, necessitating new organizational structures to support teaching, such as academies of medical educators, mission-based management, and faculty development. The second trend is multidisciplinary approaches to science and education. This is stimulating the growth of multidisciplinary curricular design and oversight along with integrated curricular structures. Third, the science of learning advocates the use of case-based, active learning methods; learning communities such as societies and colleges; and instructional technology. Fourth, shifting views of health and disease are encouraging the addition of new content in the curriculum. In response, theme committees are weaving content across the curriculum, new courses are being inserted into curricula, and community-based education is providing learning experiences outside of academic medical centers. Fifth, calls for accountability are leading to new forms of performance assessment using objective structured clinical exams, clinical examination exercises, simulators, and comprehensive assessment programs. These innovations are transforming medical education.

Key words

educational innovations environmental trends 

Copyright information

© Society of General Internal Medicine 2003

Authors and Affiliations

  1. 1.Center for Educational Development and Research, David Geffen School of MedicineUniversity of California-Los AngelesLos Angeles
  2. 2.Office of Medical Education, School of MedicineUniversity of California-San FranciscoSan Francisco

Personalised recommendations