In an increasingly complex health care environment, medical schools and teaching hospitals are merging and reconfiguring their organizational structures and facilities. Concomitant with these new organizational arrangements is a shift toward more community-based ambulatory care sites for providing clinical training. As the teaching and research-oriented culture of the academic medical center encounters the market-driven values of managed care organizations, how is the goal of providing an appropriate quality of patient care being defined and taught across sites? How are various training sites and institutions monitoring their success in teaching "quality" patient care? And how are educators preparing physicians clinically, administratively, and ethically for a more challenging practice environment that emphasizes patient outcomes?
For THE Journal's 1997 Medical Education issue, we would like to see articles reporting research on and analysis of how, in the face of service and contract demands oriented toward cost containment, medical training is strengthening physicians' professional
Breedlove C, Hedrick H. Research in Medical Education: 1997 Call for Papers. JAMA. 1996;276(19):1600. doi:10.1001/jama.1996.03540190072033
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