The formula for reform works, but is the next review already overdue?
In 2008, we reported our review of the Sydney University graduate medical program.1,2 When the program was introduced 11 years previously, it was innovative, with emphasis on helping students to solve problems and to think critically about what they were learning rather than to memorise lists of facts. In 2005, the Australian Medical Council (AMC) reviewed the program and awarded the maximum 10-year accreditation. However, the AMC also suggested a number of actions, including reviewing the role of problem-based learning (PBL) in the final 2 years of the course, reviewing some areas of assessment, providing a renewal process that allowed for flexibility and innovation within the defined outcomes, and reviewing the complex system of committee structures.
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