FREE NEJM E-TOC    HOME   |   SUBSCRIBE   |   CURRENT ISSUE   |   PAST ISSUES   |   COLLECTIONS   |   Search Term  Advanced Search

Sign in | Get NEJM's E-Mail Table of Contents — Free | Subscribe

Previous Volume 331:1391-1395 November 17, 1994 Number 20

	Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

	Full Text Purchase this article Add to Personal Archive Add to Citation Manager Notify a Friend E-mail When Cited Related Article by Iglehart, J. K. PubMed Citation

Many of the nation's academic medical centers face an uncertain future because of developments that threaten the traditional ways in which they have carried out their multiple missions. When Democratic congressional leaders recently declared comprehensive health care reform dead, the ambitious efforts of medical educators to win massive new forms of public support in a reconfigured health care system were thwarted. Thus, the government, rather than become the potential savior of academic medicine, may soon become a villain as Congress reconsiders Medicare's support for graduate medical education in its efforts to pare the federal budget. Further complicating the future of . . . [Full Text of this Article]

The Medical-Education Lobby

The Government and Residency Training

The Threat of Managed Care

The Academic Response

References

This article has been cited by other articles:

• Newton, W. P., DuBard, C. A. (2006). Shaping the Future of Academic Health Centers: The Potential Contributions of Departments of Family Medicine. Ann Fam Med 4: S2-S11 [Abstract] [Full Text]  
• Racine, A. D., Davidson, A. G. (2002). Use of a Time-Flow Study to Improve Patient Waiting Times at an Inner-city Academic Pediatric Practice. Arch Pediatr Adolesc Med 156: 1203-1209 [Abstract] [Full Text]  
• Allison, J. J., Kiefe, C. I., Weissman, N. W., Person, S. D., Rousculp, M., Canto, J. G., Bae, S., Williams, O. D., Farmer, R., Centor, R. M. (2000). Relationship of Hospital Teaching Status With Quality of Care and Mortality for Medicare Patients With Acute MI. JAMA 284: 1256-1262 [Abstract] [Full Text]  
• Hill, J. A., Kerber, R. E. (2000). Quo Vadis? : How Should We Train Cardiologists at the Turn of the Century?. Circulation 102: 932-936 [Abstract] [Full Text]  
• SCHAMESS, A., WALLIS, R., DAVID, R., EICHE, K. (2000). Academic Medicine, Service Learning, and the Health of the Poor: A Community Perspective. American Behavioral Scientist 43: 793-807 [Abstract]  
• Bailey, J. E., Van Brunt, D. L., Mirvis, D. M., McDaniel, S., Spears, C. R., Chang, C. F., Schaberg, D. R. (1999). Academic Managed Care Organizations and Adverse Selection Under Medicaid Managed Care in Tennessee. JAMA 282: 1067-1072 [Abstract] [Full Text]  
• Freburger, J. K., Hurley, R. E. (1999). Academic Health Centers and the Changing Health Care Market. Med Care Res Rev 56: 277-306 [Abstract]  
• Walker, W. A. (1998). A Subspecialist's View of Training and Pediatric Practice in the Next Millennium. Pediatrics 102: 636-643 [Full Text]  
• Samuels, B. N., Novack, A. H., Martin, D. P., Connell, F. A. (1998). Comparison of Length of Stay for Asthma by Hospital Type. Pediatrics 101 : e13-e13 [Abstract] [Full Text]  
• Wyszewianski, L., Kratochwill, E. W. (1997). Changing Clinicians' Behaviors in an Academic Medical Center: Does Institutional Commitment to Total Quality Management Matter?. American Journal of Medical Quality 12: 3-10 [Abstract]  
• Feldman, A. M., Greenhouse, P. K., Reis, S. E., Sevco, M. S. (1997). Academic Cardiology Division in the Era of Managed Care: A Paradigm for Survival. Circulation 95: 740-744 [Abstract] [Full Text]  
• Wall, T. C., Fargason Jr, C. A., Johnson, V. A. (1997). Comparison of Inpatient Charges Between Academic and Nonacademic Services in a Children's Hospital. Pediatrics 99: 175-179 [Abstract] [Full Text]  
• Rivo, M. L., Kindig, D. A. (1996). A Report Card on the Physician Work Force in the United States. NEJM 334: 892-896 [Full Text]  
• Kassirer, J. P. (1995). Managed Care and the Morality of the Marketplace. NEJM 333: 50-52 [Full Text]  
• Iglehart, J. K. (1995). Rapid Changes for Academic Medical Centers- Second of Two Parts. NEJM 332: 407-412 [Full Text]  
• Kassirer, J. P. (1994). Academic Medical Centers under Siege. NEJM 331: 1370-1371 [Full Text]