Incluye referencias bibliográficas CONTENIDO: What is educational climate? -- The learning environment and the curriculum -- Curriculum, environment, climate, quality and change in medical education a unifying perspective -- Aims and focus -- The curriculum and the learning environment. Complexity, confusion and curriculum -- Towards simplification and clarification -- Curriculum conceptualised as environment -- Curriculum development as change of environment in the medical school -- The learning environments in medical education. The environment in medical education discourse -- Medical school as a habitat: complexity and components -- Curriculum desiderata and the medical school environment -- Medical teachers and the medical school environment -- The medical school environment as a determinant of behaviour of medical students and teachers -- Climate as the soul and spirit of the medical school environment and curriculum. Climate: a crucial aspect of the environment -- The power and influence of the climate -- Measuring and researching the educational climate -- Creative, diagnostic variatons to measuring educational climate -- Educational climate can be changed -- What about the medical teachers and organisational climate? -- Essence of the climate approach to medical education -- Towards climate considerations of quality and change -- Quality in the medical education machine and garden. A vision of quality in higher education -- Some quality jargon and associated issues and phenomena -- Quality in medical education -- Quality and climates in medical education -- Climate, quality and illuminative evaluation of the medical school -- Linking quality and climate to change -- Changing the curriculum, environment, climate and quality in medical education. Climate at the centre of change -- Stimulus for change -- Climate studies: a resource for change -- Climate studies: a resourse for the medical school of a learning organisation -- Review and conclusion -- References. continuación del CONTENIDO: A practical guide to using the dundee ready education environment measure (DREEM).