Overview: Medical schools exist as part of a complex educational and health care sys tem with affiliations to universities, teaching hospitals, outpatient clinics, students, and communities. Those of us who serve as trustees and volunteers on boards and commit tees of medical schools carry obvious responsibilities for the performance of the institution with regard to those affiliations, including those that relate to the community. By what criteria, and by what standards, do we as trustees assess that performance? For trustees of medical schools, I suggest that the most im portant criteria
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