Central governance of undergraduate medical school curriculum is compared with traditional departmental approaches, based on experiences at the University of Pittsburgh (Pennsylvania). It is argued that centralized governance has more advantages but greater cost. A major challenge of this approach is in resolution of faculty conflict between…

Case studies of 10 medical schools identified innovative mechanisms of faculty governance and management to enlist faculty in meeting demands of a competitive marketplace, including appointment letters explicitly specifying roles and responsibilities; annual, objective, performance reviews; salary tied to performance; lengthened pretenure period;…