Within the unique and complex settings of university hospitals, it is difficult to implement policy initiatives aimed at developing careers in and improving the quality of academic medical teaching because of the competing domains of medical research and patient care. Factors that influence faculty in making use of teaching policy incentives have…

To improve efficiency, consistency and transparency in clinical trial contract negotiations with industry sponsors, a Council of Academic Hospitals of Ontario (CAHO) committee facilitated the development of standard principles for member hospitals to follow during contract negotiation. Hospitals were encouraged to provide a link to the CAHO…

Author described the tremendous advances that have been made in medical education, and the delivery of medical care to a huge and widely dispersed population. (Editor/RK)

Greatly modifying the present medical curriculum for the future physician-scientist is not recommended. The value of his having a PhD is questioned and the importance of his working in a hospital-based clinical department is stressed. The author contends that emphasizing the interrelationship between basic and applied research will increase public…

A four-week clerkship in community medicine is a requirement for all third-year students at the Mount Sinai School of Medicine. An important feature of the program is the wide variety of settings available to students, including the City Hospital Center at Elmhurst, which is described. (LBH)

Recent activities of the General Accounting Office (GAO) related to the allocation of medical resources and services are reviewed. Focus is on the evaluation of programs designed to increase public access to quality health care and to contain health care costs. GAO supervision of grant monies designated for medical research is also discussed. (JMD)