Sheridan (1995) presents the problem of the psychologist consulting to
a medical residency program as an example of the difficulty one exper
iences in attempting to challenge, even from a data-based perspective,
the calcification inherent in health systems and medical education in
particular. This paper responds to her challenging questions, ''How m
uch should we get involved in changing health care and medical educati
on, and at what level (local, national) should psychology intervene (i
f at all)?'' It is suggested that psychologists pick up the challenge
to bring about change, whenever possible, with the admonition-we are o
nly beginning.