Some problems in the changing pattern of relationships between bedside teaching, clinical research, and provision of medical services in academic hospitals are examined, including patient types, sophistication of medical intervention, and specialization. Four elements of government policy that might favor desirable development in these areas are…

An autobiographical account by the army's chief logistical adviser to the surgeon general during World War II calls attention to the challenges of medical service planning and three postwar changes in medicine: demand for access to care; bigger federal biomedical research expenditures; and the rise of specialization. (Author/MSE)

An analysis of the state of medical informatics, the application of computer and information technology to biomedicine, looks at trends and concerns, including integration of traditionally distinct enterprises (clinical information systems, financial information, scholarly support activities, infrastructures); informatics career choice and…

Portuguese legislative and policy moves since 1974 and their effects on academic hospitals are chronicled. The changes began with a serious university crisis, through which academic hospitals were abolished, and have resulted in legislation offering the potential for a restructuring of medical training and research. (Author/MSE)

Most of the hospital beds available to the University of Liege (France) for training purposes are in a public teaching hospital with an autonomous legal structure and privileged relationship with the university. Other beds are in other facilities. The financing, supervision, and management structure integrates the institutions and supports medical…