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Harry S. Jonas, MD; Sylvia I. Etzel; Barbara Barzansky, PhD

JAMA. 1994;272(9):694-701.

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

DURING the past year, those responsible for maintaining the quality of medical education in US medical schools and their affiliated teaching hospitals continued to ask a key question: "What impact will health system reform have on medical education?" A working group from the American Medical Association (AMA) prepared a monograph in the summer of 1993 entitled The Potential Impact of Health System Reform on Academic Medical Centers¹ to alert medical schools to this issue. The monograph predicted that medical schools and their affiliated teaching hospitals would have to adjust to the fiscal constraints of decreased revenue from faculty practice and hospital earnings as health system reform becomes implemented. In Canada, fiscal constraints have resulted in budget cuts in medical schools, caps on the professional earnings of faculty members, closures of some teaching hospital beds, a reduction in the overall number of students admitted to medical

See also p 715. . . . [Full Text PDF of this Article]

Author Affiliations
From the Division of Undergraduate Medical Education (Drs Jonas and Barzansky) and the Department of Data Systems (Ms Etzel), American Medical Association, Chicago, III.

Footnotes
Reprint requests to the Division of Undergraduate Medical Education, American Medical Association, 515 N State St, Chicago, IL 60610 (Dr Jonas).

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