This paper presents the current status of the academic medicine of the Skopje University Faculty of Medicine and the
necessity of the medical education reform, initiated in 2001 by the decision of the Ss. Cyril and Methodius University
Rectorate Administration to introduce the credit system in the university education in the Republic of Macedonia. This
essay describes and reviews the actual conditions and priority problems and needs; proposes activities that should be
undertaken to solve and overcome the existing problems and provide further development of teaching and research at
the Faculty. Structural reorganization and overall mobilization of the human resources of the Faculty towards achieving
the desired goals is needed.