Discusses implications of changes in the financing of medical care and the organization of health care delivery for the traditional medical school-university partnership. Suggests both tenure-track and clinician-educator medical faculty should be provided the time and financial support to meet requirements for scholarship. (DB)

Reviews trends causing health care to be treated as a commodity, bought and sold in a market where price determines outcomes, and service orientation of health care is threatened. This environment places new pressures on medical schools and teaching hospitals; the trend will continue because threats to academic medicine's institutions have not…

The approach taken by one academic health center, Allegheny Health, Education and Research Foundation (Pennsylvania), to changes in the economics of health care is described. The foundation is cultivating a more responsive organization, reengineering operations, and securing its revenue base in a variety of ways. Statistics are provided to…

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…

With the support of outreach library services and visits by university-based faculty, area health education centers improve a rural community's ability to recruit, retain, and keep up-to-date primary care physicians and other health manpower. North Carolina is an example of this enhanced professional environment. (Author/MSE)

A 1985-86 Howard University College of Medicine survey of graduates confirmed that the predominantly Black alumni were continuing to provide patient care to a substantial number of poor Blacks in urban areas. Findings included concerns about malpractice suits and physician impairment. (Author/MLW)

Faculty and administrators of 22 medical schools were interviewed for their insights into development of an approach to health care and medical education that integrates psychosocial and biomedical perspectives. Results suggest medical curricula should address development of physicians' knowledge, attitudes, and skills in relationships with both…

This paper presents a review and comparison of qualitative improvements in the organization, needs assessment, educational methodology, evaluation, and research in continuing medical education in the United States and Canada. Accreditation, medical schools, medical societies and specialty boards, and health care systems and continuing medical…

A survey of academic deans (n=100) in universities associated with medical and osteopathy schools found that administrators' attitudes about curriculum content are being influenced by changes in health care delivery and an increasingly generalist orientation. There appears to be support for medical school curricula fostering a broader, more…

A survey of 75 student affairs deans, 53 individuals responsible for mental health services, and 30 student representatives in 126 Canadian and U.S. medical schools sought information on personnel, individuals served, location, hours, administration, funding, confidentiality, and administrative referrals. Suggestions for improvement focused on…

This paper outlines forces that are intensifying change in health care delivery and describes institutional obstacles preventing medical schools' adjustment of their educational offerings. Health professions education institutions are urged to develop centers for determining regional and local workforce needs and subsequently establish regionally…

This article reviews societal demands for increased accountability and social responsibility by academic medicine. The Association of American Medical Colleges is urged to prepare more generalist physicians and assure better access to health care services. A "National System of Regional Medical Care" is proposed. (Author/DB)

This article proposes that in order for academic medical centers to compete with successful group practices, health maintenance organizations, and integrated health service networks, they must form clinical faculty into a competitive medical group with more price-competitive and user-friendly services, restructure clinical training to be more…

Describes proceedings of a meeting of the Association of American Medical Schools' Forum on the Future of Academic Medicine, focusing on ways in which medical schools can and are responding to changing, more competitive marketplaces for health services while sustaining their missions; the health care industry perspective; and characteristics of…

A survey of 22 current and former medical school deans identified two forces in the health care environment that have had a profound impact on their role as deans and which frequently posed conflicts between clinical and educational enterprises: decline in resources available to medical schools following an era of abundance, and unprecedented…