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Richard L. Egan, MD

JAMA. 1986;256(12):1549-1555.

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

The EDUCATION ISSUE of JAMA traditionally has included a review of events that have had an impact on medical education. Over the past several years, the events reviewed were those that sustained or improved the quality of medical education. At this point in the history of US medical education, there are several factors at work that separately and collectively are producing trends that threaten the clinical base, which has become an integral part of our system of medical education. The public concern for cost containment in health care has led to the operation of some hospitals by professional management firms and to other hospitals becoming investor-owned with a vertically integrated system of health care delivery. The corporate search for less expensive health insurance for employees has produced "competition" for patients and the formation of health maintenance organizations (HMOs) and preferred provider organizations (PPOs).

Cost containment at the federal level has . . . [Full Text PDF of this Article]

Author Affiliations
Dr Egan is Secretary of the American Medical Association (AMA) Council on Medical Education.

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