Castelo-Branco, LuísFinucane, PaulMarvão, PedroMcCrorie, PeterPonte, JoséWorley, Paul2017-04-072017-04-072016-120142-159XAUT: JPM02257; JPO02075;http://hdl.handle.net/10400.1/9189Background: Many internal and external obstacles, must be overcome when establishing a new medical school, or when radically revising an existing medical curriculum.Aims: Twenty-five years after the Flinders University curriculum was introduced as the first graduate-entry medical programme (GEMP) in Australia, we aim at describing how it has been adopted and adapted by several other schools, in Australia and in Europe (UK, Ireland, and Portugal).Method/Results: This paper reports on the experience of four schools establishing a new medical school or new curriculum at different times and in different settings.Conclusions: We believe that these experiences might be of interest to others contemplating a similar development.engGlobal sharing, local innovation: Four schools, four countries, one curriculumjournal article10.1080/0142159X.2016.1181731