PMID: 9439963Jan 24, 1998Paper

Academic medicine under managed care

Gastroenterology Clinics of North America
M B Fennerty

Abstract

Academic gastroenterology is at a crossroads. If academic gastroenterologists are to survive and thrive in this era of managed care, they must develop innovative means of funding teaching and research. This funding can be accomplished while adapting to and embracing managed care. Academic gastroenterologists need to work closely with managed care in developing novel means of training fellows and focusing research on outcomes (both clinical and economic). At the same time, academic gastroenterologists have to compete in the marketplace for patient care revenue as a funding source. This competition requires a concerted effort to improve efficiency in academic practice and is likely to result in less time devoted exclusively to research and teaching. Increased clinical practice can also result in enhanced clinical research opportunities, however, as well as an ability to expand teaching in an ambulatory setting. It is clear that managed care will not adapt to academic gastroenterologists. If academic gastroenterologists are to maintain their preeminence in medical education and research, they must adapt to a managed care world.

Citations

Dec 12, 2001·Academic Medicine : Journal of the Association of American Medical Colleges·D J Powner, J A Kellum
Apr 21, 2005·Hepatology : Official Journal of the American Association for the Study of Liver Diseases·Stanley Martin CohenDonald M Jensen
Aug 1, 2008·Liver Transplantation : Official Publication of the American Association for the Study of Liver Diseases and the International Liver Transplantation Society·Mitchell L Shiffman, Don C Rockey

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