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…

Expectations of graduate medical education consortia are contrasted with the experiences of 36 such groups. Results indicate consortia differ markedly in structure, functions, and other features but have some common concerns. Recommendations for improvement addresses such issues as leadership, needs assessment, and resource allocation. (Author/MSE)