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A fresh humanistic spirit has swept through medicine in the last 25 years, partly in reaction to the enormous technological strides and emphases of the previous period, partly in response to democratic forces in the larger society. One expression of this spirit is seen in the new conceptions of medical education, and even in the design of medical school buildings and teaching hospitals; the implementation of this approach at a new medical center in Kentucky is explained in the following paper. [ABSTRACT FROM AUTHOR]