This Article  • Full text  • PDF  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Citing articles on HighWire  • Citing articles on Web of Science (9)  • Contact me when this article is cited  Related Content  • Related articles  • Similar articles in JAMA  Topic Collections  • Medical Practice  • Academic Medical Centers  • Medical Education  • Medical Practice, Other  • Alert me on articles by topic  Social Bookmarking   What's this?

Roger J. Bulger, MD

JAMA. 2000;283:2431-2433.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

In this time of apparently wrenching change in the environments in which academic health centers must exist, it is pertinent to ask, What is the single greatest challenge facing these institutions as they enter the third millennium? To answer that question, it is important first to consider several key aspects about this changing environment.

The dramatic changes affecting health care and higher education in the United States reflect much of what is happening in the rest of society. American society is moving from the security of a belief in everlasting material progress (called modernism), based on the principles of the Enlightenment as expressed through the successes of the capitalistic, democratic, industrialized nations, and is entering a time of confusion (called postmodernism), characterized by decreasing faith in the old principles and with no new governing paradigm readily available. Modernism has brought society many advantages, but . . . [Full Text of this Article]

Author Affiliation: Association of Academic Health Centers, Washington, DC.

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

RELATED ARTICLES

The Perilous State of Academic Medicine
Herbert Pardes
JAMA. 2000;283(18):2427-2429.
EXTRACT | FULL TEXT  

Sustaining Change in Medical Education
Paul F. Griner and Deborah Danoff
JAMA. 2000;283(18):2429-2431.
EXTRACT | FULL TEXT  

The Evolving Academic Health Center: Strategies and Priorities at Emory University
Jonathan F. Saxton, David A. Blake, John T. Fox, and Michael M. E. Johns
JAMA. 2000;283(18):2434-2436.
EXTRACT | FULL TEXT  

The Academic Health Center: Some Policy Reflections
Rashi Fein
JAMA. 2000;283(18):2436-2437.
EXTRACT | FULL TEXT  

The Plight of Academic Health Centers
Catherine D. DeAngelis
JAMA. 2000;283(18):2438-2439.
EXTRACT | FULL TEXT  

THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES

Continuing Concerns, New Challenges, and Next Steps in Physician-Patient Communication
Herndon and Pollick
JBJS 2002;84:309-315.
FULL TEXT  

The Plight of Academic Health Centers
DeAngelis
JAMA 2000;283:2438-2439.
FULL TEXT