i acknowledge tha tI w3ill be faced with many of the stated barriers to putting in active learning techniques into action.  Some of this is that I teach a lot of factual medical courses that move quickly.  I have and will continue to gradually add active learning methods to break up the lecture.  The balance is what I am still learning.  Lecture remains beneficial with the factual information (such as pathophysiology) but I include discussion often wehn we get to the most important sections.  I think the understanding of the barriers and the reinforcement that it is okay to develop these methods gradually was one of the important lessons of this course.  I also plan to continue to improve the communication with students at the start of the course over why lecture is still important to this material but help them to understand that it will not be the only teachig method used.