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October 30, 1967

The Role of the Medical School in Health Care in Oklahoma: A Case Study

Author Affiliations

From the University of Oklahoma School of Medicine, Oklahoma City.

JAMA. 1967;202(5):407-410. doi:10.1001/jama.1967.03130180073014

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.

Case Presentation  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:

Chief Complaint.—  Anxiety, fatigue, loneliness, and a sense of having been abandoned by the parent community.

Present Illness.—  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