Medical education: past, present and future

Geoff Norman
Soort article
Basic science teaching,
Clinical teaching,
Medical education,
Verscheen in

This article reviews changes in undergraduate and postgraduate medical education since the Flexner report of 1910. I argue that many of the changes in the twentieth century could be viewed as ‘post-Flexnerian’, and related to the integration of biomedical science in the preclinical medical curriculum. I then go on to argue that recent changes in the health care systems worldwide will force a critical re-examination of our approach to clinical education—a ‘post-Oslerian’ era. I suggest that one approach would be to decouple clinical education from clinical care, to some degree, and supplement with curricula designed around careful sequencing of simulated cases.


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