During the past two decades, important changes have occurred in medical practice that has critical implications in medical education. As an example, concerns about the cost of medical care have led to major changes in organization, financing and delivery of medical care services. as a result, physicians now entering practice are expected to be able to Provide high quality care in an efficient and cost-effective manner; to be skilled at accessing, managing using electronically – stored information in clinical decision-making and to understand the population – health dimensions of providing care to individual patients.
Society's expectation of medicine has also changed. People now expect doctors to communicate clearly with them and their families, respect them as persons and honor their wishes about their care, and still continue to care for them even when treatment is no longer indicated or desirable.
The goal of medical education is to provide medical students with a general professional education that will ensure opportunities to develop a strong foundation in knowledge, skills, and attitude required for clinical practice. With the Outcomes-Based Education, the Jonelta Foundation also a disaster-prepared practitioner. To achieve this goal, the content of the curriculum has been aligned with evolving societal needs, practice patterns and scientific developments. Disaster-preparedness has also been incorporated in courses where it is relevant. My article on JFSM's story on Curriculum focused on how the Curriculum has evolved from the traditional Flexner type to hybrid one Incorporating problem-Base features, to the competency-based curriculum, transitioning to the outcomes-Based Education. The curriculum reforms described have set the stage for making fundamental changes that will ensure our JFSM graduate to properly practice medicine in the 21st century.
As we celebrate 20 years of JFSM's existence, much has changed from leadership, curriculum and instruction, physical resource and library facilities, faculty and students, organization and panning, research and community involvement, clinic exposure and global connections. The JFSM graduate of today is not only locally responsive but also globally competitive.

Congratlations to all!