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Volume 355:525 August 3, 2006 Number 5
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Shattuck Lecture — Medical Education

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by Arky, R. A.
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To the Editor: In his Shattuck Lecture, Dr. Arky (May 4 issue)1 stated that "continuing medical education [CME] is in trouble." CME, still dominated by classroom lectures, does not produce measurable changes in physicians' performances.

Osler's teaching always emphasized learning from experience: "In what may be called the natural method of teaching, the student begins with the patient, continues with the patient, and ends his studies with the patient, using books and lectures as tools, as means to an end."2 Osler's principles have not been universally implemented because of the time constraints imposed on physicians.

Information technology is on the . . . [Full Text of this Article]



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