There now appears to be considerable interest in providing health administration education to physicians. Although we agree with this new interest, it may be useful to explore the reasons why this education would be helpful to clinicians. To date, there have been limited actual initiatives in this area. Certainly, the offering of seminars and workshops to physicians locally and nationally is not new. However, with increasing governmental interest in health system reform and new systemwide interest in quality of care, it is vital for physicians to understand management and policy. Of course, an important barrier to successfully providing this information to clinicians is the current workload of physicians, both those in employment and those in private practice. There is barely time during the week to complete required patient care duties. We might think, then, that the place to start is in academic medical centers where physicians receive their primary training before entering clinical service as practitioners. For many years, there have been proposals to integrate health administration and policy into the medical school curriculum. Most often, however, these proposals have not been successful because of the competition for curriculum time. Given choices, medical school faculty have elected to emphasize the science of medicine. Although this is certainly an appropriate choice, there is increasing interest in introducing management and policy information to physicians in training, and now there are some interesting experiments in finding ways to achieve these goals. Why would we stretch our scarce curricular resource— time—to do this? There are at least 5 reasons. Leadership and management. We increasingly recognize that there is a need for clinical professionals to move to the forefront of institutional leadership. Just as in the science of medicine, we now recognize that the information involved in management and policy is greater than can be absorbed in a weekend of preparation for a leadership position. At many academic medical centers and in many community hospitals, health care executives recognize that tomorrow’s leaders should have some formal training in health care management and policy formulation. Design involvement. Physicians have frequently talked about their exclusion from strategic and organizational design discussions. When they are included, they are most often represented in a token way by a limited number of colleagues. But to successfully design the health care delivery system of the future, physicians will need to be fully educated about organization behavior, strategy, and outcomes management. The system of the future will require improvements in access, quality of care, and cost control. Meaningful involvement in this continuing redesign process means that physicians must have an understanding of organization theory, policymaking processes, economics and finance, and information systems at the least. In order for their design involvement to be productive and rewarding, clinicians must be educated appropriately. Negotiation. Physicians frequently complain that they have come out poorly in negotiations with health plans, hospitals, and insurers. Negotiation is a skill that is part of the management and policy package.