Academic medical centers, threatened by erosion of infrastructure, declining academic workforce, marketplace forces diminishing quality and access, and shrinking funds, must not rely on managed care, the pharmaceutical industry, or foundations to provide necessary support. They must communicate the dangers they face and persuade government to…

A collaborative summer program by the University of Washington medical school, a professional association, and regional and state agencies provides students with an early introduction to community medicine in rural and urban underserved areas. Students (n=74) have been extremely satisfied. Suggestions are made for identifying potential program…

Rural health care can thrive if innovative tactics are used. Four principles can influence health care services: (1) an integrative approach is needed; (2) recognition that competition is a dominant mode; (3) cultural and professional ethnocentricity are counterproductive; and (4) the possibilities are limitless. (Author/MSE)

Health maintenance organizations (HMOs) medical directors and academics (N=450) explored the barriers to and incentives for cooperation between academic medical centers (AMCs) and HMOs in clinical education. AMCs need to be prepared to offer meaningful academic and financial inducements to attract HMOs to participate in teaching. (Author/MLW)

Some information from the University of Pennsylvania's experience with foreign medical scholars illustrates the potential dimension of a larger Soviet presence in American academic medicine. Some issues to be addressed in improving the Soviet quality of health care are described. (MLW)

It is proposed that the need for collaboration between physicians and nurses is increasing with new health care needs and delivery systems, and that practitioners and educators must help improve the relationship. The phenomenon of collaboration, reasons for promoting it, barriers to achieving collaborative relationships, and change strategies are…

Authorship patterns for medicine department chairperson were analyzed for the period 1979-90, a period when authorship criteria were widely debated. Results indicate that medical journals' changes in definition of authorship did not decrease the number of articles for which the chairperson were last authors and significantly increased the number…

This paper reports on the 1942 founding meeting of the accrediting agency for U.S. and Canadian medical education programs, the Liaison Committee on Medical Education of the Association of American Medical Colleges, and the American Medical Association. The original statement regarding the social responsibility of medical education is applied to…

A 1990 survey of 281 health maintenance organizations found 42 were directly involved in graduate medical education, most through agreements with academic medical centers or teaching hospitals, to serve as an ambulatory care rotation site. One-sixth of these were accredited to serve as sponsoring organizations. Program model types were also…

Sought to identify characteristics of health professions schools, public schools, and community-based organizations in successful partnerships to increase the number of underrepresented minority students entering health professions. Found that successful partnerships included professional schools that had a commitment to community service.…

Examined the educational linkages between medical schools and public health agencies (PHAs) through a survey of all 134 allopathic medical schools in the United States. Of the 108 schools that responded, 63% reported placing some or all students at PHAs. Barriers to PHA placement included lack of faculty interest and lack of designated PHA contact…

Noting the relatively constant percentage of minority students enrolling in medical schools since 1974, this paper urges academic medical centers to actively participate in the campaign by the Association of American Medical Colleges to double the number of underrepresented minority matriculants by the year 2000. Recommended strategies include…

A survey of 330 internal medicine residency directors found two-thirds of programs had ongoing academic affiliations. Support for the arrangements was stronger in university programs than in community or other hospitals, where such affiliations were considered less equitable and mutually trusting. Experience with consortia mitigated objections to…

In a longitudinal study of 659 graduates of the Jefferson Medical School-Pennsylvania State University combined undergraduate-medical degree program since 1964, academic performances, clinical ratings, and careers are examined and compared to those of traditional medical program graduates. The program's design is found appropriate and successful…

The Harvard University Medical School (Massachusetts) and a community health maintenance organization (HMO) have formed the first medical school department to be based in a freestanding HMO, replicating the conventional teaching hospital clinical teaching model in a managed care situation. The model is seen as potentially transforming medical…