The broad and diverse activities associated with a modern university school of medicine are commonly described under the term "medical center." I have been asked to present a "case study" of the evolving relationships of the University of Oklahoma Medical Center to its state community.
In the fall of 1964, I was introduced to the problems of this 50-year-old "institutional patient." Using the traditional medical approach, I would describe the case as follows:
Anxiety, fatigue, loneliness, and a sense of having been abandoned by the parent community.
The present illness appears to have had its onset about 15 years ago, when a fulltime clinical faculty began to replace the voluntary faculty. Although this transition appears to have been accomplished with a minimum of sibling rivalry, this was at least partially due to an almost passive withdrawal from any major consideration that might have precipitated
Dennis JL. The Role of the Medical School in Health Care in Oklahoma: A Case Study. JAMA. 1967;202(5):407–410. doi:10.1001/jama.1967.03130180073014
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