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)

An examination of the changes over a ten-year period (from 1972 to 1982) in the number, distribution, and characteristics of Ph.D. faculty of clinical departments of medical schools is provided in this report. Trends in the training and research involvements of this group are stated with special emphasis on an analysis of the factors associated…

Designed to provide assistance in the assessment of the need for biomedical and behavioral research personnel, this report presents research findings related to specific medical careers. The review includes an examination of the system under which biomedical and behavioral scientists are trained for research careers and the United States…