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…

Health care reforms will dramatically change the culture of medical schools in areas of patient care, research, and education programs. Academic medical centers must construct mutually beneficial partnerships that will position them to take advantage of the opportunities rather than leave them without the diversity of resources needed to make…

This paper uses an organizational systems model in examining academic health centers and health maintenance organizations to identify common needs, mutual interests, areas for potential collaboration, and bridging strategies. These include health care systems development, professional education, information management systems, and health services…

Presents the results of the Association of American Medical Colleges' Working Group on Adapting to Resource Constraints, focusing on four areas: size of the academic enterprise, organizational models and their relationships to the clinical enterprise, faculty tenure and compensation, and partnerships with capital-intensive entities. Outlines…

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…