Reducing radiology use on an inpatient medical service: choosing wisely.

makes online lecture series available, and the Kaiser Family Foundation makes available tutorials on websites such as Kaiseredu.org. Many schools have adopted Khan Academy-like systems for many parts of the curriculum, and health policy might follow suit.* An important move to encourage and inspire pervasive curriculum change within medical education would be to incorporate health policy domains into the step 1 boards. Boards have adapted over the years in numerous ways to address more clinical approaches to teaching medicine, and the introduction of health policy to the boards, to which the traditional medical school curriculum would then respond, would be in line with that evolution. Facing organizational resistance to curriculum change is a challenge. But a grassroots education reform may be a feasible and focused effort at a time when complex politics has left health reform supporters feeling the feckless nature of electoral politics and the Supreme Court. Medical students could demand this kind of change; many have paved the road for change already, fuehng the necessary discussion. In a 2010 survey of US medical school deans, 58% reported that they had "too httle" health policy education, only 25% required students to take a class in which the primary topic was health policy, and 52% reported a process of increasing health policy education reform, although resources and finding time in the training are clear obstacles. Notably, most of those respondents who claimed to require health policy education in preclinical and clinical years reported only 10 hours or less of instruction over the 4 years of training.'