Training of physicians for the twenty-first century: Role of the basic sciences

Joseph P. Grande

Research output: Contribution to journalArticlepeer-review

36 Scopus citations


Background: Rapid changes in the healthcare environment and public dissatisfaction with the cost and quality of medical care have prompted a critical analysis of how physicians are trained in the United States. Accrediting agencies have catalyzed a transformation from a process based to a competency-based curriculum, both at the undergraduate and the graduate levels. Aim: The objective of this overview is to determine how these changes are likely to alter the role of basic science in medical education. Methods: Policy statements related to basic science education from the National Board of Medical Examiners (NBME), the Accreditation Council for Graduate Medical Education (ACGME), American Board of Medical Specialties (ABMS), and the Federation of State Medical Boards (FSMB) were reviewed and assessed for common themes. Results: Three primary roles for the basic sciences in medical education are proposed: (1) basic science to support the development of clinical reasoning skills; (2) basic science to support a critical analysis of medical and surgical interventions ("evidence-based medicine"); and (3) basic and translational science to support analysis of processes to improve healthcare ("science of healthcare delivery"). Conclusion: With these roles in mind, several methods to incorporate basic sciences into the curriculum are suggested.

Original languageEnglish (US)
Pages (from-to)802-806
Number of pages5
JournalMedical teacher
Issue number9
StatePublished - 2009

ASJC Scopus subject areas

  • Education


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