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Special Article
April 23, 2001

The Future of Academic Medical Centers in the United StatesPassing Through the Valley of the Shadow of Death

Author Affiliations

From the Department of Medicine, University of Arizona Health Sciences Center, Tucson.

Arch Intern Med. 2001;161(8):1047-1049. doi:10.1001/archinte.161.8.1047

The last 2 decades witnessed remarkable events in the life of academic medical centers (AMCs) in the United States. Twenty years ago, AMCs were thriving as the era of fee-for-service medicine came to a close: clinical departments were expanding, hiring new faculty members, purchasing new equipment as necessary, and funding research projects and protected research time with the abundant clinical revenues. The subsequent 20 years since that golden era came to a close witnessed the disappearance of these expansionary trends. Departments have contracted, protected research time and start-up funds have declined precipitously, and many faculty members are infected with a sense of malaise and fear for the future.

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