Nobody knows exactly what it is or who is in charge of what.
This confusion has led to different interpretations concerning who is responsible and accountable for formulating, reviewing, modifying, and implementing curricular policies. This was the main finding of the Ad Hoc Committee that reviewed the Office of Undergraduate Medical Education last year. Most everyone stated that they were unsure who was responsible for what, leading to the formation of a further Ad Hoc Committee to look at Governance of the curriculum. The crucial issue is that our ability to improve our curriculum on a continuous basis is being stymied by the lack of definition of who can make the final decisions. By clarifying who is responsible for making what kinds of decisions we will gain the ability to create and implement improvements to our curriculum.