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…

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)

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)