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Educational Programs in US Medical Schools, 1994-1995 FREE

Barbara Barzansky, PhD; Harry S. Jonas, MD; Sylvia I. Etzel
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Reprint requests to the Division of Undergraduate Medical Education, American Medical Association, 515 N State St, Chicago, IL 606 10 (Dr Barzansky).


JAMA. 1995;274(9):716-722. doi:10.1001/jama.1995.03530090048021
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THE PURPOSE of this article is to review the current status of educational programs leading to the doctor of medicine degree in US medical schools. However, it is important to remember that such programs do not exist in isolation. They are part of institutions—medical schools and associated clinical facilities, such as teaching hospitals—that are sensitive to external environmental factors. For example, since medical schools derive a significant percentage of their income from the medical practice activities of clinical faculty members,1 changes in the health care system, such as the growth of managed care, have great potential to affect medical schools. There is already evidence that increased managed care penetration can cause a decrease in school revenues from faculty practice.2 Such decreases in revenue can, in turn, affect the ability of the medical school to implement its educational program.

Medical schools have begun to cope with the challenge raised

REFERENCES

Ganem J, Krakower J, Beran R.  Review of US medical school finances, 1992-1993. JAMA . 1994;; 272:705-711.
Lazarus G.  A view from the future: the challenge for academic medicine in northern California. Acad Med . 1995;;70:87-89.
Iglehart J.  Rapid changes for academic medical centers, part 2. N Engl J Med . 1995;;332:407-411.
Group Health Association of America. 1994 National Directory of HMOs . Washington, DC: Group Health Association of America; 1994;.
Jolly P, Hudley D, eds. Association of American Medical Colleges Data Book . Washington, DC: Association of American Medical Colleges; January 1995;.
 Physicians for the twenty-first century: report of the Project Panel on the General Professional Education of the Physician and College Preparation for Medicine. J Med Educ . 1984;;59( (suppl) ):1-208.

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Ganem J, Krakower J, Beran R.  Review of US medical school finances, 1992-1993. JAMA . 1994;; 272:705-711.
Lazarus G.  A view from the future: the challenge for academic medicine in northern California. Acad Med . 1995;;70:87-89.
Iglehart J.  Rapid changes for academic medical centers, part 2. N Engl J Med . 1995;;332:407-411.
Group Health Association of America. 1994 National Directory of HMOs . Washington, DC: Group Health Association of America; 1994;.
Jolly P, Hudley D, eds. Association of American Medical Colleges Data Book . Washington, DC: Association of American Medical Colleges; January 1995;.
 Physicians for the twenty-first century: report of the Project Panel on the General Professional Education of the Physician and College Preparation for Medicine. J Med Educ . 1984;;59( (suppl) ):1-208.
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