Reengineering academic medical centers: reengineering academic values?

Academic Medicine : Journal of the Association of American Medical Colleges
D Korn

Abstract

Academic medicine is entering an era of profound, unsettling change resulting not simply from the drastic transformation of the health care marketplace but more fundamentally from the chronic, growing gap between academic medicine's seemingly insatiable demand for total resources and the supply of resources that society is willing to provide. To examine this problem, the author reviews the major factors that have shaped the development of academic medical centers (AMCs) since World War II and are now the roots of their vulnerability. The first was the major federal investment in university-based programs of science research and education that began in the 1940s; the second was the enactment in the 1960s of the Medicare/Medicaid legislation that established federal responsibility for the support of graduate medical education. After describing important characteristics (e.g., number of faculty, number of students, dollars spent on research) of the growth and accomplishment that resulted from this massive infusion of federal funds over the last few decades, the author discusses several adverse consequences, such as the de-emphasis on education in favor of research and clinical service delivery and the serious disjunction between t...Continue Reading

Citations

May 17, 2005·Medical Hypotheses·Amnon Sonnenberg
Oct 13, 2001·Academic Medicine : Journal of the Association of American Medical Colleges·R F Jones, J S Gold
Feb 14, 2002·Academic Medicine : Journal of the Association of American Medical Colleges·William T Mallon, Robert F Jones
Feb 14, 2003·Academic Medicine : Journal of the Association of American Medical Colleges·Allen J DaugirdP Richard Olson
Nov 8, 2003·Academic Medicine : Journal of the Association of American Medical Colleges·Mark Cummings
Feb 27, 2004·Academic Medicine : Journal of the Association of American Medical Colleges·Mandy Liu, William T Mallon
Oct 27, 2005·Academic Medicine : Journal of the Association of American Medical Colleges·Darrell G KirchSteven D Baron
Aug 29, 2006·Academic Medicine : Journal of the Association of American Medical Colleges·William M Sage
May 27, 2006·Academic Medicine : Journal of the Association of American Medical Colleges·William T Mallon
Mar 1, 2007·Academic Medicine : Journal of the Association of American Medical Colleges·Sarah A Bunton, William T Mallon
Apr 7, 2007·Academic Medicine : Journal of the Association of American Medical Colleges·Terry D StrattonC Darrell Jennings
Aug 15, 2003·Journal of Health Organization and Management·Kristina L Guo
Jun 1, 1999·Academic Psychiatry : the Journal of the American Association of Directors of Psychiatric Residency Training and the Association for Academic Psychiatry·L R Faulkner, J D Bloom
Jul 13, 2000·Academic Medicine : Journal of the Association of American Medical Colleges·L R Faulkner, R L McCurdy
Jul 15, 2003·Academic Medicine : Journal of the Association of American Medical Colleges·Robert T Watson
Mar 14, 2003·Academic Medicine : Journal of the Association of American Medical Colleges·William T MallonRobert F Jones
Apr 15, 2004·Archives of Physical Medicine and Rehabilitation·Joel A Delisa
Sep 13, 2008·American Journal of Transplantation : Official Journal of the American Society of Transplantation and the American Society of Transplant Surgeons·R J Howard, Bruce Kaplan
Sep 28, 2002·Anesthesia and Analgesia·R David WartersTiberiu Ezri
Oct 30, 2019·Journal of Clinical and Translational Science·Julie B SchweitzerFrederick J Meyers
Mar 27, 2001·The Journal of Bone and Joint Surgery. American Volume·R A Meals
Jun 16, 2007·Journal of Cancer Education : the Official Journal of the American Association for Cancer Education·Frederic W Hafferty, Kathleen V Watson
Jan 24, 2004·Science·William T Mallon, David Korn

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