Why Are We Doing This? Program Rationale Curriculum reform is hard. Especially in a time of great demand and limited resources, change like this requires clear vision, enthusiastic faculty, and dedicated students. Why take on such a difficult task? SIUSOM and the Josiah Macy Foundation have agreed the evidence is overwhelming: Now is the time to build on the strengths and shore up the weaknesses of third-year clinical education in order to effectively and efficiently produce more competent, well-rounded physicians. Getting Real: Embracing the Conditions of the Third-Year Clerkship and