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An uneasy and highly sensitive equilibrium is perhaps the most a university president can hope to attain in his relationships to his faculty. Charged with full responsibility for the entire operation by his Board of Trustees, in many areas of these responsibilities he is merely symbolic of central authority. Meanwhile, the mantle of academic freedom is thrown more widely around faculty members as an insulative device, to protect them from administrative jurisdiction.
In medical faculties, however, a whole congeries of additional influences arise to affect these administration-faculty relations. There are centrifugal thrusts away from university-oriented procedures and policies, which add to the concern of the university president and his trustees.
There is the growth of the great medical center— a complex of hospitals, research institutes, and training programs of various sorts—with an interrelated administrative hierarchy often so complicated that central authority is impossible to identify. At any rate, the poor
Malott DW. A UNIVERSITY PRESIDENT LOOKS AT MEDICAL EDUCATION. JAMA. 1960;174(11):1531–1532. doi:10.1001/jama.1960.03030110159022
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