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January 8, 1982, Vol 247, No. 2 >
ARTICLE | January 8, 1982

Medical Schools, Clinical Faculty, and Community Physicians FREE

Leighton E. Cluff, MD
[+] Author Affiliations

Reprint requests to the Robert Wood Johnson Foundation, PO Box 2316, Princeton, NJ 08540 (Dr Cluff).


JAMA. 1982;247(2):200-202. doi:10.1001/jama.1982.03320270038020
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References

MOST medical schools have controlled or had a dominant influence on their principal teaching hospitals where the full-time faculty engage in medical practice, students are educated, and residents are trained. However, 25 of the 29 recently established medical schools have affiliated only with community hospitals and do not control these institutions.1 In addition, the number of community hospitals affiliated with medical schools increased from 517 in 1966 to 1,168 in 1976.2 Despite this, most community hospitals do not have affiliations with medical schools and have no educational or training programs. For the purposes of this discussion, hospitals are divided into those closely affiliated with medical schools and that have a large contingent of "full-time" clinical faculty, and those that are community hospitals used largely or exclusively by community physicians in their medical practice.

There are noticeable differences between the principal teaching hospitals of medical schools and community hospitals.

REFERENCES

1 +
McDermott W:  Educating physicians for the future , in McNerney WJ (ed): Working for a Healthier America . Cambridge, Mass, Ballinger Publishing Co, 1980;.
2 +
Liaison Committee on Graduate Medical Education: Directory of Accredited Residencies, 1975-1976 . Chicago, American Medical Association, 1976;.
3 +
Schroeder SA, O'Leary DS:  Differences in laboratory use and length of stay between university and community hospitals . J Med Educ 1977;;52:418-420.
4 +
Medical Education: Institutions, Characteristics, and Programs: A Background Paper . Washington, DC, Association of American Medical Colleges, (June) 1977;, pp 1-5
5 +
Butler PW, Bentley JD, Knapp RM:  Today's teaching hospitals: Old stereotypes and new realities . Ann Intern Med 1980;;93:614-618.
6 +
Horn SH, Schumacher D:  An analysis of case mix complexity using information theory and diagnostic related grouping . Med Care 1979;; 17:382-389.
7 +
Ament RP, Kobrinski EJ, Wood WR:  Case mix complexity differences between teaching and nonteaching hospitals . J Med Educ , to be published.
8 +
Rogers DE: American Medicine, Challenge for the 1980s . Cambridge, Mass, Ballinger Publishing Co, 1978;.
9 +
Schwartz WB, Newhouse JP, Bennett BW, et al:  The changing geographic distribution of board-certified physicians . N Engl J Med 1980;; 303:1032-1038.
10 +
The Current and Future Supply of Physicians and Physician Specialists , publication No. (HRA) 80-60, US Dept of Health, Education, and Welfare, (September) 1980;, p 17.
11 +
Cluff LE:  New settings for medical education . Pharos 1974;;38:2-7.
12 +
Aday LA, Andersen R, Fleming G: Health Care in the United States: Equitable for Whom? Beverly Hills, Calif, Sage Publications, 1980;.
13 +
Barondess JA:  Volunteer clinical faculty: The hope of the future?  Read before the Council of Academic Societies, Association of American Medical Colleges, Washington, DC, Oct 26, 1980 .
14 +
Freeman HW, Goetsch GG: Use of Community Health Centers . Institute for Social Sciences Research, University of California, Los Angeles, (August) 1980;.
15 +
Report of Special Survey of Level of Quality of Patient Care at Veterans Administration Hospitals and Clinics. House Committee Print No. 163, Government Printing Office, 1974.

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Country-Specific Mortality and Growth Failure in Infancy and Yound Children and Association With Material Stature

Use interactive graphics and maps to view and sort country-specific infant and early dhildhood mortality and growth failure data and their association with maternal

1 +
McDermott W:  Educating physicians for the future , in McNerney WJ (ed): Working for a Healthier America . Cambridge, Mass, Ballinger Publishing Co, 1980;.
2 +
Liaison Committee on Graduate Medical Education: Directory of Accredited Residencies, 1975-1976 . Chicago, American Medical Association, 1976;.
3 +
Schroeder SA, O'Leary DS:  Differences in laboratory use and length of stay between university and community hospitals . J Med Educ 1977;;52:418-420.
4 +
Medical Education: Institutions, Characteristics, and Programs: A Background Paper . Washington, DC, Association of American Medical Colleges, (June) 1977;, pp 1-5
5 +
Butler PW, Bentley JD, Knapp RM:  Today's teaching hospitals: Old stereotypes and new realities . Ann Intern Med 1980;;93:614-618.
6 +
Horn SH, Schumacher D:  An analysis of case mix complexity using information theory and diagnostic related grouping . Med Care 1979;; 17:382-389.
7 +
Ament RP, Kobrinski EJ, Wood WR:  Case mix complexity differences between teaching and nonteaching hospitals . J Med Educ , to be published.
8 +
Rogers DE: American Medicine, Challenge for the 1980s . Cambridge, Mass, Ballinger Publishing Co, 1978;.
9 +
Schwartz WB, Newhouse JP, Bennett BW, et al:  The changing geographic distribution of board-certified physicians . N Engl J Med 1980;; 303:1032-1038.
10 +
The Current and Future Supply of Physicians and Physician Specialists , publication No. (HRA) 80-60, US Dept of Health, Education, and Welfare, (September) 1980;, p 17.
11 +
Cluff LE:  New settings for medical education . Pharos 1974;;38:2-7.
12 +
Aday LA, Andersen R, Fleming G: Health Care in the United States: Equitable for Whom? Beverly Hills, Calif, Sage Publications, 1980;.
13 +
Barondess JA:  Volunteer clinical faculty: The hope of the future?  Read before the Council of Academic Societies, Association of American Medical Colleges, Washington, DC, Oct 26, 1980 .
14 +
Freeman HW, Goetsch GG: Use of Community Health Centers . Institute for Social Sciences Research, University of California, Los Angeles, (August) 1980;.
15 +
Report of Special Survey of Level of Quality of Patient Care at Veterans Administration Hospitals and Clinics. House Committee Print No. 163, Government Printing Office, 1974.

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