DURING the past year, those responsible for maintaining the quality of medical education in US medical schools and their affiliated teaching hospitals continued to ask a key question: "What impact will health system reform have on medical education?" A working group from the American Medical Association (AMA) prepared a monograph in the summer of 1993 entitled The Potential Impact of Health System Reform on Academic Medical Centers1 to alert medical schools to this issue. The monograph predicted that medical schools and their affiliated teaching hospitals would have to adjust to the fiscal constraints of decreased revenue from faculty practice and hospital earnings as health system reform becomes implemented. In Canada, fiscal constraints have resulted in budget cuts in medical schools, caps on the professional earnings of faculty members, closures of some teaching hospital beds, a reduction in the overall number of students admitted to medical
See also p 715.
Jonas HS, Etzel SI, Barzansky B. Educational Programs in US Medical Schools, 1993-1994. JAMA. 1994;272(9):694-701. doi:10.1001/jama.1994.03520090058019