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The lack of reflection upon the needs of patients and the inability to introduce progressive changes hamper the efforts of most medical schools in the United States.

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1 is correct!

The lack of reflection upon the needs of patients and the inability to introduce progressive changes hamper the efforts of most medical schools in the United States.

See p. 83.

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2 is wrong. Please try again.

The lack of reflection upon the needs of patients and the inability to introduce progressive changes hamper the efforts of most medical schools in the United States.

See p. 83.

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