Abstract
FOUR and one-half years ago, I was in the People's Republic of China during the week the medical schools first opened after their five-year suspension of enrollment that was associated with the Cultural Revolution. I reported inThe Journalthat experience and the details of the new three-year medical school curriculum.1I further elaborated on my observations in 1975.2 In February 1976, during a fourth visit, I again saw several faculties and individuals that I first met 4 1/2 years earlier. This offered me an index of change, continuity, and results. The nature of this last visit, escorting 32 students and faculty members from the University of Missouri-Kansas City School of Medicine, facilitated the meeting of Chinese counterparts and the exchange of information. Briefly, an untried educational concept, and frequently with apprehensive faculty participation, has now become institutionalized. The fifth medical school class was enrolled last September. The

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