- the incessant growth, easy access to money, and confidence that the good times will continue,
- lack of competition,
- comfortable and stable labor market, and
- tight regulation. These factors ensure that “normal science” lives on.
Here at last we have some hope. We are indeed creating new medical schools. And if you look closely they are also trying out new ideas.
So where do we look for creative destruction? New medical schools.
And what should we do? Back off on demands to “standardize” them and ensure they “conform.” Let them innovate. Let them fail. Let them compete for students. Let the employees worry that they may lose their jobs.
If left alone perhaps they will accomplish the creative destruction that medical school education needs to accomplish a paradigm shift.