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A Piece of My Mind |

Fulfilling Our Leadership Responsibility

Phillip Gorrindo, PhD; Sara K. Tedeschi, MD; Albert R. Powers, MD, PhD; Kevin Niswender, MD, PhD
JAMA. 2013;309(2):147-148. doi:10.1001/jama.2012.165720.
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Academic medical centers (AMCs) enjoy a special position in the ecology of health care in the United States. Their mission statements reflect commitment to understanding mechanisms of disease, discovering novel therapeutic targets, training future clinical leaders, and caring for society's sickest patients. Enjoying this privileged position at the forefront of medicine, however, comes with substantial responsibility. Decisions emanating from AMCs are viewed as “healthy” by the public, given AMCs' leadership role. For this reason, as medical students we were troubled by an inconsistency on our campus: for several years, brand name fast food (BNFF) vendors were prominently located in the hospital. In the classroom, we learned about the impact of lifestyle, environment, and behavioral choices on risk for and development of chronic diseases. We were taught therapeutic strategies (eg, prescribe statins, encourage exercise, and counsel patients to decrease sodium intake) to reduce the burden of cardiovascular and other chronic diseases.

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The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
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