The academic medical center is being affected by changes in the national health care delivery system, including the rapid growth in prepaid health plans, the emerging surplus of physicians, and the continued escalation of health care costs. (Author/MLW)

The medical school-hospital relationship is examined in terms of graduate medical education, primary care initiatives, classification of patients, financing house staff, hospital referrals, and planning constraints. (LBH)

Two surveys show that the use of prepaid health care plans for educational purposes is rising. A review of published studies that have examined the costs of such training is included. (Author/MLW)

Exploding medical delivery costs and monopolistic practices have brought wide public disenchantment with the American way of healing. Medical school admission practices, more than any other single factor, influence the demography and therefore the availability of health care in the U.S. (Editor/LBH)

Experience with the Computer Stored Ambulatory Record (COSTAR), a computerized medical records system, installed at a large primary care clinic at a university medical center is reported. Use of the system was terminated because clinic revenues could not cover operating costs. (Author/MLW)

A questionnaire was administered to 339 graduating senior medical students at the Medical College of Georgia to determine different potential sources of influence on career choice. Indebtedness may be associated with the choice of a non-primary care specialty with greater remuneration than primary care specialty. (MLW)

The report investigates production and the cost effects of teaching within hospital departments. Models of primary production show that the cost effects of teaching are determined by the salaries paid to students (including residents, interns, medical students, and technical trainees) and physicians, by the levels of student inputs used in…