Commentary
I started teaching first-year medical students for a course called Medical Immunology 12 years ago. After observing and assisting my predecessor for a time, I took over the course, and I had almost complete control over the curriculum, lectures, small-group activities, testing, and grading. Only once a year did we meet with our colleagues from other campuses to discuss what and how our students should be learning. The rest of the details were left up to each site director, and decisions were made locally based on their own experiences, talents, and preferences.
