A 21st-century medical school

2574 www.thelancet.com Vol 385 June 27, 2015 Authors’ reply We are grateful to Robbert Duvivier and colleagues for their thoughtful questions in response to our Comment. Their questions give us an opportunity to add some information that we did not previously have space to include. We will make more detail available on our website in the near future, but for now, the site contains a list of our advisers and collaborating organisations, many of whom have had extensive experience working in low-income and middle-income countries. We are about to begin seeking the foundation and donor funds needed for this philanthropic eff ort. Our central commitment is to be the opposite of paternalistic. We aim to provide help at the request of and in collaboration with local leaders. Our goal is to strengthen self-sustaining health systems in multiple developing countries to meet their local needs. We will off er guidance, substantial resources and We declare no competing interests.