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In 1910, American medical education was transformed by Abraham Flexner's report to the Carnegie Foundation for the Advancement of Teaching. Flexner criticized severely the curricula then in place, the low standards of teaching and examination and the inadequacy of entrance requirements.

The Flexner Report (as it is usually dubbed) led to sweeping changes and the closing of substandard schools. Is it time for a new "Flexner Report" dealing with the intellectual content of premedical and medical education to prepare medical school graduates for themedicine of the coming century?