Throughout the United Kingdom, medical schools have begun to make significa
nt changes in the content and delivery of their undergraduate curricula in
response to a number of social and educational farces. In particular, many
schools have begun to focus increasingly on community-based education. This
and other changes mirror developments that have taken place in other count
ries and in the context of other health care systems, with such forerunners
as Harvard, Maastricht, and McMaster having had a fundamental influence. I
n this article, the authors describe the forces for curricular change in th
e United Kingdom and the specific recommendations for change made by the Ge
neral Medical Council. They then discuss in detail the new curriculum at th
e University of Birmingham medical school, focusing in particular on a comm
unity medicine module, where students spend ten days per academic year lear
ning in general medical practices in and around the city of Birmingham.