The analysis of costs of National Institutes of Health (NIH) bio-medical research demonstrates that the increased expenditures for research project grants are due to such factors as real growth in the program, artifacts of the calculation method, and the extent to which project periods of awards have lengthened. (Author/DB)

The article analyzes three challenges confronting academic medical centers in the areas of education, patient care, and research. Encouraged are: (1) an expanded role by medical centers in training primary care physicians; (2) modification of physician reimbursement policies; and (3) resolution of conflicts of interest for biomedical scientists in…

An interview with the former editor of "The New England Journal of Medicine" examines the impact on medical education of corporatization of the health-care system, including pressures to see more patients, less time spent with each patient, financial pressures limiting medical research, issues related to tenure, and concerns that young doctors are…

An interpretation of the dollar dimension of medical progress, the role of nonmonetary factors in the equation, and suggestions for public policy are presented. Medical leadership must help formulate recommendations aimed at reductions in medical school enrollments, fee schedules for physicians, costly technology, etc. (MLW)

This report, the 24th in an annual series on research expenditures of Texas public institutions of higher education, is based on data provided by each institution for fiscal year 1990. Institutions were asked to ensure that the data reported were consistent with their annual financial reports, and that they used a set of established definitions…

An analysis of the state of medical informatics, the application of computer and information technology to biomedicine, looks at trends and concerns, including integration of traditionally distinct enterprises (clinical information systems, financial information, scholarly support activities, infrastructures); informatics career choice and…

This discussion of traditional academic medicine's resistance to changes in practice, technology, and finances looks at three current problems in medical education and two in biomedical research. Solutions are proposed, based on redefinition of the relationship between universities and medical schools and expansion of the conventional narrow focus…

Portuguese legislative and policy moves since 1974 and their effects on academic hospitals are chronicled. The changes began with a serious university crisis, through which academic hospitals were abolished, and have resulted in legislation offering the potential for a restructuring of medical training and research. (Author/MSE)

Reports that Harvard University Medical School is considering policy changes that would ease financial restrictions in its conflict-of-interest standards for faculty researchers. Supporters argue that such changes are necessary to attract and retain top researchers, but ethicists warn that as collaborations between industry and academic medicine…

The primary purpose of this study is to investigate relationships between trends in federal funding of biomedical-behavioral research in universities and concurrent financial and educational changes in these institutions from FY 1964 through FY 1974. More detailed knowledge of these interrelationships should provide guidance to federal agencies…

Two conference presentations are summarized: (1) the Human Genome Project and other genetic discoveries and technologies, that offer improvements in diagnosis, disease prevention, and treatment, and that change the relationship between the academic medical center (AMC) and the pharmaceutical industry; and (2) new emphases on health-care outcomes…

Three principal aspects of capital needs in biomedical research are discussed: the significant and growing need for capital; sources; and the role of federal policy. Important assumptions, questions, and possible future trends are discussed. Consolidated thinking and effort are encouraged. (MSE)

Deaths from meningitis-type illnesses among college students are worrying health officials. Concerns include behaviors of students that may put students at risk, risk characteristics of dormitory housing, ethical concerns about disclosing the names of infected students, and possible need for immunization programs. (MSE)

Presents proceedings of the American Association of Dental Schools' International Women's Leadership Conference. Addresses, panel presentations, and general-sessions topics included leadership training and promotion for women in dental education, women's health issues and research, the glass ceiling, infrastructures for research and training,…