Medical education institution has been changing dramatically nowadays. Competency-based curriculum legalized in medical education since 2006 has occured shifting paradigm from old paradigm, mastery of subject based to new paradigm, mastery of competencies. So, this caused medical education institution have building health of organization toward social accountability. Transformation of medical education is in fact inseparable to institution’s vision and mission. Therefore, the genuine identity of institution could be implemented and reflected in all aspects of institution. In order to develop health of organization in medical program, some points must be done carefully. Those points are (1) developing institution cultural based on value through growth and developed  idealism, character and community (Raka, 2008); (2) create atmosphere academic of institutional condusively; (3) continuing evaluation in all aspect, both of institutional and education program; (4).Building institution program that has futuristic but consistent with local wisdom
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