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Perspective of the Dean

Haile T. Debas, MD

Arch Surg. 2001;136:158-160.

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

INTRODUCTION

The managed care revolution has crippled the ability of medical schools and their affiliated hospitals to accomplish their traditional goals of education, research, specialized clinical service, and innovation in clinical care. As academic health practice has had to become cost competitive, little time is left for teaching and research. Other factors, including the increasing focus on outpatient care, dropping numbers of residents, and the increasingly complex patient mix in academic health centers (AHCs), have contributed to the degradation of the surgical learning environment. In response, AHCs must develop mechanisms to adapt while at the same time preserving their core missions. Examples of adaptive mechanisms include remaining cost-effective, moving training to the outpatient setting, protecting teaching and scholarly activities of faculty by creating new mechanisms of funding, and training future surgeons in health care policy and administration.

As dean of the School of Medicine at the University . . . [Full Text of this Article]

THE IMPACT ON SURGICAL EDUCATION

THE IMPACT ON MEDICAL RESEARCH

THE IMPACT ON THE AHC

FUTURE LEADERSHIP IN HEALTH CARE

COMMENT

From the Office of the Dean, School of Medicine, University of California, San Francisco (Dr Debas).

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