Physician shortages and mounting student-loan debt are encouraging the growth of three-year medical school programs. The effort to build three-year medical school programs is one element in the movement to modernize medical education, offering a challenge to the four-year model that has been entrenched for a century. Developing flexible, competency-based pathways—tailoring the time required in medical school to the ability and clinical background of the student—is one theme of the AMA Accelerating Change in Medical Education Consortium the AMA started in 2013.

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