Introduction -- Part One: Today's practice, yesterday's legacy, tomorrow's challenges -- Educating physicians: context and challenges -- Being a doctor: foundations of professional education. -- Part Two: Learning the physician's work -- The student's experience: undergraduate medical education -- The resident's experience: graduate medical education. -- Part Three: External pressures and internal forces for change -- Regulating and financing medical education -- Leadership for organizational change. -- Part Four: Meeting tomorrow's challenges: a vision of the possible -- Realizing the vision: transforming medical education -- Supporting excellence through effective policy