Abstract

young practitioners go out to train and then work in institutions that are shaped and governed by political, social and economic forces. Curriculum may be able to make individuals more aware of some of the forces at play; it cannot, however, shift inequities that are systemic. As medical educators, we need to be aware of the types of institutional change that are actually required to achieve the improved health outcomes we claim to be trying to accomplish through our curricular innovations. We must take care not to suggest that the ills of society can be cured by medical curricula. Our curricular reforms will be more appropriate and more honest if we only expect of them what they can actually accomplish.

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