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Dr Zatuchni has provided some additional opinions regarding the present plights of medical schools and the circumstances surrounding them. It was not my intention to imply that full-time faculties of medicine were created to provide either economic incentives or substitutes for federal research funding. Full-time faculties were created to expand activities in research and patient care, but this became possible only when external moneys were available to support these activities. This, however, led to an increasing emphasis on these functions of the faculty, correspondingly diminishing the emphasis of the faculty on medical student education. Medical education seems to have become secondary to research and patient care and their associated rewards rather than of primary importance.Earlier, revenues generated by patient care were incidental to medical education and improvements in medicine. But this no longer appears to be the case.The "price" paid by full-time clinical faculty had been
Cluff LE. Economic Incentives of Faculty Practice-Reply. JAMA. 1984;252(7):899–900. doi:10.1001/jama.1984.03350070017011
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