Niigata University was screened in the first trial for Medical Education Assessment in the discipline of medicine in 2013 as a member of Six Medical Universities (Niigata University, Tokyo University of Medicine and Dentistry, the University of Tokyo, Chiba University, Tokyo Jikeikai Medical University, Tokyo Women’s Medical University). The screening was part of the University Reformation Project promoted by the Ministry of Education, Culture, Sports, Science and Technology to establish a medical education accreditation system corresponding to the international standard. On the advice provided then by an external assessor, we have been implementing a new curriculum since 2014, including the following items: (1) cooperation between general education and professional education, (2) developing student ability in medical research, (3) vertically integrating lectures on fundamental and clinical medicine, (4) participationstyle clinical training for diagnosis and treatment over a sufficient period of time, centering on the core diagnosis and treatment department, and (5) introducing the Postclinical Clerkship OSCE (PCC-OSCE). 　Specific changes from the old curriculum to the new curriculum are as follows: (1) Considering the integrated six-year program, the teachers in charge of general education and those in the Medical Program closely exchange opinions. Also, as a second foreign language, students can choose from German, French, Chinese, Italian, Spanish and Korean; in addition,

we have established, as part of the professional education, An Introduction to Medical Science among the general education subjects for the first-year students. (2) In order to provide students with a longer period of time for medical research, we have moved the Medical Research Practicum from the fourth-year curriculum to the thirdyear curriculum. (3) We have introduced Integration of Fundamental and Clinical Medicine into the second year curriculum, enabling students to study both fundamental and clinical medicine in the form of team-based learning (TBL). (4) The clinical training, which was in the fifth and sixth years, now starts in the second semester of the fourth year, and the entire training period has been extended from 52 weeks to 64 weeks. Also, we have improved the training content to make it participation-style clinical training for diagnosis and treatment with its basic unit being three weeks, centering on the core diagnosis and treatment department. (5) Having implemented a PCCOSCE Trial in 2016, we have decided to add it to the required conditions for graduation beginning in 2017. 　Regarding the results of the new curriculum, among the opinions obtained from the questionnaire to the firstyear students was the following from one student: “I can picture a clearer image of an ideal doctor now, and I am highly motivated to study medical science which is my major.”