RT Journal Article SR Electronic T1 Educating physicians prepared to improve care and safety is no accident: it requires a systematic approach JF Quality and Safety in Health Care JO Qual Saf Health Care FD BMJ Publishing Group Ltd SP 168 OP 173 DO 10.1136/qhc.11.2.168 VO 11 IS 2 A1 D C Aron A1 L A Headrick YR 2002 UL http://qualitysafety.bmj.com/content/11/2/168.abstract AB While most newly qualified physicians are well prepared in the science base of medicine and in the skills that enable them to look after individual patients, few have the skills necessary to improve care and patient safety continuously. We apply a systems analysis from the field of human error to identify ways in which medical school education can increase the number of graduates prepared to reflect on and improve professional practice. Doing so requires a systematic approach involving entrance requirements, the curriculum, the organizational culture of training environments, student assessment, and program evaluation.