Health maintenance organizations (HMOs) medical directors and academics (N=450) explored the barriers to and incentives for cooperation between academic medical centers (AMCs) and HMOs in clinical education. AMCs need to be prepared to offer meaningful academic and financial inducements to attract HMOs to participate in teaching. (Author/MLW)

A 1990 survey of 281 health maintenance organizations found 42 were directly involved in graduate medical education, most through agreements with academic medical centers or teaching hospitals, to serve as an ambulatory care rotation site. One-sixth of these were accredited to serve as sponsoring organizations. Program model types were also…

Examined the educational linkages between medical schools and public health agencies (PHAs) through a survey of all 134 allopathic medical schools in the United States. Of the 108 schools that responded, 63% reported placing some or all students at PHAs. Barriers to PHA placement included lack of faculty interest and lack of designated PHA contact…

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…

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…

A survey of 177 teaching hospitals investigated, first, the extent of cooperation between hospital continuing medical education (CME) providers and medical schools and, second, whether community hospitals will seek competitive or cooperative relationships with medical schools for CME in the near future. A trend toward collaboration was found.…

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)

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)

A joint cholesterol research venture between a University of Massachusetts medical center and a health maintenance organization, the Fallon Healthcare System, is described, focusing on issues arising from the two institutions' differing priorities and perspectives concerning health care and research. While such a collaborative arrangement can hold…

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…

Six universities collaborated in developing an integrated academic information management system (IAIMS) to manage data and information as a shared resource and to bring together resources for timely decision making. The program assists institutions in linking their library systems and other information systems to support education, research,…

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…

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…