One hundred years ago, following a whirlwind visit to 155 medical schools, Abraham Flexner issued a report that reshaped American medicine. His observations and recommendations led to major changes in U.S. medical education. Our nation?s medical schools subsequently provided innovations that have dramatically transformed the practice of medicine, thereby greatly improving public health.
Nevertheless, according to a recent Commonwealth Fund report, the U.S. health care system is the most expensive in the world and consistently underperforms other countries on most measures of performance. Thus, our medical schools, which currently lead the world in biomedical research and health professions education, are faced with a challenging mission if they are to continue their leadership in improving health.