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August 28, 1987

US Medical School Finances

JAMA. 1987;258(8):1022-1030. doi:10.1001/jama.1987.03400080032006

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This review of the financial operations of US medical schools is intended to reflect trends in revenues and expenditures. The 28-year interval from 1958 to 1985 may be divided into two distinct periods, from 1958-1959 to 1978-1979 and from 1979-1980 to 1985-1986, the latest year for which financial data are available. The first period can be characterized by huge absolute and relative increases in all aspects of medical education. Some sense of the growth in the enterprise during the 21-year interval from 1958-1959 to 1978-1979 may be gleaned from an examination of a few of its dimensions shown in Table 1. The number of schools increased, the number of candidates for professional and academic doctorates doubled and tripled, respectively, and the population of postdoctoral students mushroomed.

The seven-year period from 1979-1980 to 1985-1986, on the other hand, exhibits modest growth in the number of schools and the number of students,