RT Book, Section A1 Lechner, Andrew J. A1 Matuschak, George M. A1 Brink, David S. SR Print(0) ID 1120130595 T1 Preface T2 Respiratory: An Integrated Approach to Disease YR 2012 FD 2012 PB McGraw-Hill Education PP New York, NY SN 9780071635011 LK accessmedicine.mhmedical.com/content.aspx?aid=1120130595 RD 2024/04/23 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.