Author Affiliations: Association of American
Medical Colleges, Washington, DC.
Although the present era offers more promise for medical research progress
than ever before, academic medical centers also face more daunting challenges
for the conduct of medical research: high expectations by the public for a
steady stream of lifesaving discoveries, news about financial conflicts of
interest and scientific misconduct by researchers that threatens to erode
public trust in academic institutions, tensions between the cultural norms
of academe and industry that cloud their growing partnerships, obstacles to
recruiting and retaining physician-scientists, constrained funding sources
and increasing costs of research, and the need to transform the academic reward
structure and culture to encourage collaboration and adapt to the new “team
science.” The interconnectedness of these challenges magnifies their
difficulties and importance. Maintaining academic medicine’s integrity
and effectiveness in pursuing its vital research mission will be a crucial
challenge for medical schools and teaching hospitals in the years ahead.
Cohen JJ, Siegel EK. Academic Medical Centers and Medical Research: The Challenges Ahead. JAMA. 2005;294(11):1367–1372. doi:10.1001/jama.294.11.1367
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