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…

Existing federal government policies and systems to protect against scientific misconduct in government-supported research projects are described, and additional considerations not covered in federal policy are enumerated. Misconduct inquiries and review procedures are outlined. Applicant and institutional responsibility and the role of prevention…

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)