The Parallel Curriculum, a problem-based curriculum at Bowman Gray School of Medicine, Winston-Salem, North Carolina, is described through each year of study. The curriculum increases learning enjoyment by making medical students responsible for scholarly exploration and integration of knowledge and skills with faculty support. (Author/GLR)

A discussion of the influence of finances on students' decisions to enter medicine or pursue low-paying careers in primary care or clinical investigation looks at three factors: medical school costs, the magnitude of student indebtedness, and the effects of indebtedness on career choice. (Author/MSE)

Three models of strategic management for academic health centers are detailed: the traditional model, which will become rare; a revised traditional model that offers "boutique" clinical services, biomedical research, and medical education; and the academic services model, focusing on competitive primary and secondary clinical services, health…

An AAMC ad hoc committee on research fraud identified three steps institutions might take to combat fraud in medical research: determination of the magnitude of the problem by a formal study; institution of guidelines for research, publication, and promotion; and establishment of policies for investigating allegations of fraud. (Author/MLW)

A follow-up study of 211 early graduates of the Harvard University-Massachusetts Institute of Technology program in health sciences technology, designed to train physician-scientists and emphasizing basic science and research experience, revealed that the program has succeeded in preparing carefully selected students for those careers without…

This paper proposes structural reforms in the U.S. health care system based on the need for (1) workable, affordable solutions; (2) preserving and strengthening the biomedical research enterprise; (3) increased minority participation in science and the health professions; and (4) a culture of character emphasizing health promotion and disease…

Discussion of academic medical centers (AMCs) looks at: change due to heavy federal funding in recent decades; adverse consequences, including deemphasis on education in favor of research and clinical service delivery, and discrepancies between AMC internal and external labor markets; and challenges to medical education in research, education, and…