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The Case Against Tenure in Medical Schools
Robert G. Petersdorf, MD
JAMA. 1984;251(7):920-924.
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TENURE in medical schools is a relatively new phenomenon. It developed slowly, primarily because most medical schools consisted of parttime faculty until World War II. These part-time faculty were primarily clinicians who derived most of their income from the practice of medicine and were not dependent on the university for their economic survival. Although a number of medical schools had small basic science departments, even in them, tenure was not a subject of contention.
Tenure developed in medical schools primarily as the medical schools became a progressively integral part of the university. It developed a much stronger base in public medical schools than in private medical schools, but was accepted even by the private schools, primarily to place them in a competitive position in the recruitment and retention of faculty and to provide employment security.
The purposes of tenure are well known. It exists to protect faculty from adverse outside
. . . [Full Text PDF of this Article]
Author Affiliations
From the Office of the Vice Chancellor for Health Sciences, University of California, San Diego, School of Medicine, La Jolla.
Footnotes
Adapted from a presentation to Group on Business Affairs, Association of American Medical Colleges, Aug 17, 1983.
The views expressed in this article are solely the author's and not those of the University of California.
Reprint requests to Office of the Vice Chancellor for Health Sciences, Dean, School of Medicine, University of California, San Diego, School of Medicine, La Jolla, CA 92093 (Dr Petersdorf).
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