This Article  • References  • Full text PDF  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Citation map  • Citing articles on HighWire  • Contact me when this article is cited  Related Content  • Similar articles in JAMA  Social Bookmarking   What's this?

Effect on the Academic Medical Center

Robert G. Petersdorf, MD

JAMA. 1985;253(17):2543-2548.

Abstract
Profound changes are occurring in the health care system, including a surfeit of physicians, cost containment, and competition. This article addresses the effects of these changes on the academic medical center. It recommends that the faculty of the future will be of two types—clinician-teachers and researcher-teachers—and outlines the qualifications of these faculties. It recommends a proper reward system for clinician-teachers, the reintroduction of part-time faculties, and careful retrenchment in medical school class size and house staff. It calls for teaching hospitals to improve their physical plants and control costs by phasing out programs that are not cost-effective. Universities should consider divesting themselves of university-owned teaching hospitals. Most importantly, local, state, and federal governments and the public must develop a more supportive attitude toward the needs of medical education.

(JAMA 1985;253:2543-2548)

Author Affiliations
From the University of California, San Diego, School of Medicine, La Jolla.

Footnotes
Adapted from a presentation to the Society for Academic Anesthesiologists, Chicago, Oct 27, 1984.

Reprint requests to University of California, San Diego, School of Medicine, La Jolla, CA 92093 (Dr Petersdorf).

CiteULike    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter     What's this?

THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES

The Cost of Third-Year Clerkships at Large Nonuniversity Teaching Hospitals
Weinberg et al.
JAMA 1994;272:669-673.
ABSTRACT  

Academic Medicine as a Public Trust
Schroeder et al.
JAMA 1989;262:803-812.
ABSTRACT  

Caregiver views of help from the physician
Glasser et al.
AM J ALZHEIMERS DIS OTHER DEMEN 1989;4:4-11.
ABSTRACT  

Medicare Payment for Physician Services
HEALTH AND PUBLIC POLICY COMMITTEE
ANN INTERN MED 1987;106:151-163.
ABSTRACT  

Faculty Practice Plans: Profile and Critique
MacLeod and Schwarz
JAMA 1986;256:58-62.
ABSTRACT  

THE ACADEMIC PEDIATRICIAN: WHERE ART THOU?
Corrigan
Arch Pediatr Adolesc Med 1985;139:869-869.
ABSTRACT