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academic assessment basic science Baylor Center Clinical Core clinical education clinical experiences clinical faculty Clinical Medicine clinical science clinical skills College of Medicine Committee on Medical core clerkship course directors created curricular curriculum change Curriculum Committee curriculum reform curriculum renewal dean's disease education program effort elective emphasize environment ethics evidence-based medicine examination faculty members family medicine funds graduates hospital implementation improve information technology initiated innovation inpatient institutional integration interdisciplinary internal medicine issues knowledge LCME leadership learning major medical education medical school medical students MUSC nutrition opportunities organization Parallel Curriculum patients pediatrics percent Phase physicians primary principles problem-based learning professional psychiatry residents responsibility School of Medicine science and clinical small-group South Carolina standardized patients strategic planning structure students and faculty task force teaching Tufts HSDB TUSM UCSF University University of Utah Wake Forest University weeks Western Reserve University