TY - CHAP M1 - Book, Section TI - Preface A1 - Lechner, Andrew J. A1 - Matuschak, George M. A1 - Brink, David S. PY - 2019 T2 - Respiratory: An Integrated Approach to Disease AB - In the fall of 1994, Saint Louis University (SLU) School of Medicine was visited by the Liaison Committee for Medical Education (LCME) for its routine reaccreditation of our medical curriculum. Remarkably, SLU's entire second-year medical class had recently passed Step 1 of the United States Medical Licensure Exam (USMLE) boards on their first attempts the preceding summer. Such an outcome can powerfully reinforce the status quo: If it's not broken, why fix it? Despite that auspicious showing, we were confronted by the LCME criticism that our traditional discipline-based curriculum must be redesigned so that it would be governed by a cross-disciplinary committee of practicing physicians. The LCME's operational hypothesis seemed to be that such top-down management would free curricular content from the pedagogical constraints exerted by powerful academic departments in charge of individual courses like biochemistry, physiology, pathology, and medicine. We soon learned that other medical schools were hearing this same message. SN - PB - McGraw-Hill Education CY - New York, NY Y2 - 2024/04/19 UR - accessmedicine.mhmedical.com/content.aspx?aid=1164203483 ER -