The document summarizes the recommendations of an External Reference Group (ERG) appointed to develop a blueprint for a proposed new medical school at the Nelson Mandela Metropolitan University in South Africa. The ERG recommends a set of 14 principles focused on social accountability, community engagement, producing competent clinicians, and educational excellence. It proposes 4 degree programs including a Bachelor of Clinical Medical Practice and a graduate-entry Bachelor of Medicine and Bachelor of Surgery. The ERG report was well-received and the university has started integrating some courses and planning for the proposed programs.