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
Barzansky B, Jonas HS, Etzel SI. Educational Programs in US Medical Schools, 1994-1995. JAMA. 1995;274(9):716-722. doi:10.1001/jama.1995.03530090048021