SUMMARYProgress in implementing the World Federation for Medical Education Edinburgh Recommendations in all three phases of education — undergraduate, postgraduate and continuing — is dependent upon recognition of the need to manage dissatisfaction with the present, to have appropriate visions for the future, to have a management strategy for implementing change and to be cost‐effective. The extent to which progress can be anticipated is reflected in the formula:Change = (Dissatisfaction × Vision × Process)>CostWe have to aim for a curriculum that will be more convenient, relevant, individualized to the need of each student or trainee, diagnostic — emphasizing self‐assessment, interesting — taking account of motivation of students and doctors, systematic or planned and allowing for speculation and a consideration of the grey areas or uncertainties of medicine as well as th