Nigeria is the most populated black African nation, with a population of 140 million from the 2006 population census. Medical education began with the establishment of the University College Hospital, Ibadan as a College branch of the University of London in 1948. Since then four generations of medical schools have evolved. The newer medical schools adopted the curriculum of the older schools with little modification. The subsequent introduction of changes and modification in the curriculum of medical education worldwide did not seem to affect Nigerian medical schools. Teacher training in educational methods for medical educators has not been introduced, nor has there been any curriculum planning or review. Efforts made regionally and nationally to change the medical curriculum and improve quality of medical training has not yielded the desired results. The regulatory bodies, the National Universities Commission and the Medical and Dental Council of Nigeria introduced separate curricula for medical schools, as a guide to minimum standards, but there has been so far a varying degree of compliance by the Universities. There is an urgent need to bring Medical Education and teacher training issues to the fore. Needs assessment of medical school faculty to determine their training would be seen to be a good starting point, as well as curriculum transformation and the introduction of newer assessment methods. It is suggested that the Medical and Dental Council of Nigeria (MDCN) should take a leading role by collaborating with outside bodies concerned with medical education.