Preface by Michael J. Dowling vii Introduction: A Model to Emulate by Jordan Cohen, MD and George Thibault, MD xi The Authors Introduce Each Other xv About Charles Kenney xix 1 On the Front Lines: Student Voices I 1 The Voices That Guide Us 1 Gummies Laced with Fentanyl 6 2 Journey of Discovery 9 The Good Old Days 11 Curriculum of the Future 18 Harvard's New Pathway 35 Josiah Macy Jr. Foundation to the Rescue 39 The Second Flexner Report 42 3 The Amazing Vision of Dr. Kelley Skeff 45 Bobby Knight or John Wooden? 50 Learn How to Learn 52 In Palo Alto 55 The Maladies of Metrics 60 The Shortsightedness of "Patient-Centered" Care 63 4 Reflections on Caring: Student Voices II 69 "A Shift in Perspective" by Amitha Kapyur, First-Year Student 69 "My First Time in Anatomy Lab" by Ellie Kaplan-Marans, First-Year Student 72 "Out in the Cold" by Lindsay Wood, First-Year Student 73 5 Case Western Reserve University 77 An Aha Moment 79 John Dewey, American Philosopher 80 Guiding Principles 81 Teaching Science in Small Groups 84 Students Teach Themselves 85 The Power of Essay Assessment 87 Learner-Centered 89 Case Guiding Principles for the New Curriculum (2005) 90 Case Western Reserve University School for Medicine: Key Features for the Medical School Curriculum 91 6 Hofstra/Northwell 95 Welcome to Hofstra University 97 LCME Process 102 Josiah Macy Jr. Foundation 106 Macy Conference St. Louis, July 2008 110 Looking for a Dean 112 Hofstra, Northwell Partnership Integration 114 Pipeline Programs 116 7 "His Head Was Smashed Against the Window": Student Voices III 119 "Astoria Collision" by Robert Metzler, Third-Year Student 119 "Introduction to Death" by Dahlia Hassan, First-Year Student 123 Mass Casualty Training 126 8 First Year 127 Integrate Science and Clinical Medicine 135 PEARLS: The Heart of Our Curriculum 137 Grade "Lightly" 142 Targeted Focus Areas Each Week 144 Different Kind of Faculty 146 Essays Instead of Multiple-Choice Assessments 150 The Power of Simulation 154 Integrated Curriculum 157 Structure Lab 159 Can Empathy Be Taught? 161 Drivers, Values, and Guiding Principles 174 Admissions: Pioneers, Cocreators 178 Mini-Revolt 182 Students Like School! 183 9 How Young Doctors Learn 185 Collaborative, Student-Driven 185 PEARLS: Student Perspective 188 The Story of Cody Millhouse 195 Initial Clinical Experience 203 Academic Mission and Research 207 10 The Couch Movers: Student Voices IV 211 11 Renewal 217 The Sputnik Protocol 217 Does Med School Have to Be Four Years? 223 AI and the Drivers 227 Continuum of Care 229 Decision-Making and Uncertainty 230 Social Context and Responsibility 231 Quality and Effectiveness 232 Scientific Discovery 232 Looking Back and Forward 233 References 237 Acknowledgments 241 About the Authors 243 Index 247.