Linking academic and clinical missions: UC Davis' integrated AHC

Academic Medicine : Journal of the Association of American Medical Colleges
Claire PomeroyNathan Osburn

Abstract

Academic health centers (AHCs) rely on cross-subsidization of education and research programs by the clinical enterprise, but this is becoming more challenging as clinical reimbursements decline. These new realities provide an important opportunity to reevaluate the relationships between medical schools and academic medical centers. The authors examine the benefits of their ongoing commitment to create a fully integrated AHC at the University of California (UC) Davis, discussing strategies that serve as catalysts for continued growth. They explore how investments of proceeds from the clinical enterprise directly enhance educational and research initiatives, which, in turn, increase the success of patient-care programs. This has created a cycle of excellence that leads to an enhanced reputation for the entire health system. One strategy involves using clinical margins to "prime the pump" in anticipation of major research initiatives, resulting in rapid increases in external research funding and academic recognition. In turn, this facilitates recruitment of high-quality faculty and staff, improving the ability to deliver expert clinical care. The overall enhanced institutional reputation positions both the clinical and academic p...Continue Reading

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Citations

Aug 30, 2008·Academic Medicine : Journal of the Association of American Medical Colleges·Steven A Wartman
Sep 4, 2010·Academic Medicine : Journal of the Association of American Medical Colleges·Lois Margaret Nora
May 25, 2012·Academic Medicine : Journal of the Association of American Medical Colleges·E Albert ReeceEdward D Miller
Nov 15, 2017·Journal of Healthcare Management / American College of Healthcare Executives·Catherine P SladeSusan James

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