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To the Editor: The Editorial by Dr DeAngelis¹ and the Special Communication by Dr Carney and colleagues² included thoughtful analysis of issues related to medical education and associated research. We would like to highlight several related concerns.

When professors profess less, medical students are the group most neglected. Teaching postdoctoral students, residents, and continuing medical education courses generate tangible benefits to faculty. Teaching medical students has become a form of academic charity as academic medical centers have evolved into biomedical research institutes that happen to have medical schools on or near their premises.

While educators should be held to rigorous academic promotion standards, promotions committees need to recognize that published papers in traditional peer-reviewed journals are not the only evidence of academic achievement. For educators, developing and disseminating educational materials and curricula within and beyond their home institution, "teaching the teachers" in faculty development programs, and producing physicians who . . . [Full Text of this Article]

G. Michael Harper, MD
michael.harper3@med.va.gov
San Francisco Veterans Affairs Medical Center
University of California, San Francisco

Bruce Leff, MD; Patricia A. Thomas, MD
Johns Hopkins University
Baltimore, Md

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