The NBME restricts access to the USMLE Step 1 to enrolled US medical students, but this stifles innovation in learning and increases costs. We ask the NBME to open this test immediately to any qualified applicant.
The LCME should explicitly recognize the value of, and need for, student-centered learning that is outcome-driven and cost-conscious.
The AMA should form a commission of physicians who are not full-time preclinical educators to provide guidance on optimizing learning and reducing costs.
Schools must demonstrate that their programs benefit students and are cost-effective. Services that do not provide value should be abandoned.